| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.41 | $233.81 | $395.19 | |
BCBS
| Professional | $135.58 | $184.49 | $289.23 | |
Cigna
| Professional | $157.66 | $249.55 | $510.88 | |
Medcost
| Professional | $78.75 | $191.53 | $615.66 | |
Molina
| Professional | $31.82 | $207.15 | $343.13 | |
United
| Professional | $196.70 | $259.87 | $492.29 |