| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.71 | $70.79 | $117.49 | |
BCBS
| Professional | $42.66 | $54.95 | $97.72 | |
Cigna
| Professional | $56.23 | $85.11 | $151.36 | |
Medcost
| Professional | $100.00 | $100.00 | $169.82 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $43.65 | $67.61 | $109.65 |