| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.59 | $166.24 | $275.83 | |
BCBS
| Professional | $77.45 | $170.40 | $252.58 | |
Cigna
| Professional | $93.00 | $183.52 | $404.93 | |
Medcost
| Professional | $143.41 | $398.00 | $551.01 | |
Molina
| Professional | $164.55 | $222.22 | $337.18 | |
United
| Professional | $158.56 | $221.38 | $409.11 |