| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.13 | $57.54 | $107.15 | |
BCBS
| Professional | $13.80 | $74.13 | $181.97 | |
Cigna
| Professional | $19.95 | $75.86 | $141.25 | |
Medcost
| Professional | $194.98 | $194.98 | $194.98 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $14.45 | $56.23 | $117.49 |