| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.40 | $224.44 | $408.22 | |
BCBS
| Professional | $131.00 | $172.56 | $278.64 | |
Cigna
| Professional | $149.56 | $252.82 | $498.08 | |
Medcost
| Professional | $65.80 | $120.19 | $609.17 | |
Molina
| Professional | $31.82 | $237.83 | $392.08 | |
United
| Professional | $196.21 | $261.26 | $488.78 |