| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.05 | $58.63 | $92.20 | |
BCBS
| Professional | $15.57 | $85.03 | $214.25 | |
Cigna
| Professional | $20.81 | $84.66 | $133.09 | |
Medcost
| Professional | $114.57 | $114.57 | $114.57 | |
Molina
| Professional | $54.82 | $73.36 | $112.91 | |
United
| Professional | $66.76 | $85.00 | $164.49 |