| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $214.36 | $280.80 | $387.89 | |
BCBS
| Professional | $208.77 | $283.79 | $391.63 | |
Cigna
| Professional | $263.76 | $405.78 | $623.65 | |
Medcost
| Professional | $293.55 | $293.55 | $293.55 | |
Molina
| Professional | $36.48 | $205.33 | $378.19 | |
United
| Professional | $265.04 | $369.59 | $646.26 |