| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.49 | $72.50 | $98.34 | |
BCBS
| Professional | $41.00 | $55.87 | $94.33 | |
Cigna
| Professional | $55.52 | $86.43 | $151.99 | |
Medcost
| Professional | $83.48 | $83.48 | $83.48 | |
Molina
| Professional | $82.31 | $111.83 | $172.70 | |
United
| Professional | $62.76 | $82.26 | $154.41 |