| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.78 | $180.43 | $309.87 | |
BCBS
| Professional | $121.63 | $163.41 | $273.57 | |
Cigna
| Professional | $140.46 | $233.41 | $485.50 | |
Medcost
| Professional | $68.25 | $188.61 | $587.41 | |
Molina
| Professional | $31.82 | $207.15 | $343.13 | |
United
| Professional | $181.89 | $240.48 | $468.59 |