| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $204.17 | $302.00 | $501.19 | |
BCBS
| Professional | $199.53 | $288.40 | $407.38 | |
Cigna
| Professional | $257.04 | $407.38 | $602.56 | |
Medcost
| Professional | $562.34 | $562.34 | $724.44 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $194.98 | $302.00 | $524.81 |