| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.35 | $137.32 | $219.71 | |
BCBS
| Professional | $83.00 | $114.38 | $165.98 | |
Cigna
| Professional | $106.22 | $163.80 | $301.39 | |
Medcost
| Professional | $65.80 | $65.80 | $65.80 | |
Molina
| Professional | $92.25 | $131.80 | $202.71 | |
United
| Professional | $125.24 | $174.24 | $317.93 |