| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.22 | $221.24 | $379.33 | |
BCBS
| Professional | $104.00 | $136.38 | $271.70 | |
Cigna
| Professional | $128.07 | $240.84 | $474.23 | |
Medcost
| Professional | $139.74 | $141.36 | $172.60 | |
Molina
| Professional | $31.92 | $204.79 | $346.67 | |
United
| Professional | $220.25 | $322.43 | $682.56 |