| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.77 | $214.18 | $279.31 | |
BCBS
| Professional | $106.59 | $204.57 | $286.93 | |
Cigna
| Professional | $114.71 | $211.78 | $423.11 | |
Medcost
| Professional | $150.00 | $398.00 | $712.55 | |
Molina
| Professional | $164.63 | $224.15 | $343.13 | |
United
| Professional | $171.05 | $229.05 | $466.81 |