| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.62 | $450.00 | $1,159.28 | |
BCBS
| Professional | $61.00 | $96.44 | $959.93 | |
Cigna
| Professional | $82.85 | $256.57 | $1,807.04 | |
Medcost
| Professional | $70.00 | $712.55 | $2,410.34 | |
Molina
| Professional | $712.79 | $955.83 | $1,455.47 | |
United
| Professional | $99.30 | $939.27 | $1,707.35 |