| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $104.71 | $154.88 | |
BCBS
| Professional | $74.13 | $114.82 | $158.49 | |
Cigna
| Professional | $95.50 | $128.82 | $169.82 | |
Medcost
| Professional | $177.83 | $177.83 | $177.83 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $81.28 | $109.65 | $194.98 |