| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $192.39 | $264.32 | $317.20 | |
BCBS
| Professional | $186.07 | $346.88 | $420.00 | |
Cigna
| Professional | $203.54 | $275.76 | $371.56 | |
Medcost
| Professional | $253.72 | $253.72 | $253.72 | |
Molina
| Professional | $202.75 | $249.26 | $325.47 | |
United
| Professional | $199.58 | $266.17 | $465.80 |