| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.09 | $338.84 | $512.86 | |
BCBS
| Professional | $213.80 | $309.03 | $446.68 | |
Cigna
| Professional | $257.04 | $398.11 | $831.76 | |
Medcost
| Professional | $446.68 | $446.68 | $501.19 | |
Medcost
| Professional | $229.09 | $229.09 | $229.09 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $218.78 | $338.84 | $588.84 |