| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.98 | $131.15 | $210.30 | |
BCBS
| Professional | $90.17 | $123.36 | $174.19 | |
Cigna
| Professional | $103.85 | $156.78 | $283.57 | |
Medcost
| Professional | $79.81 | $102.31 | $144.04 | |
Molina
| Professional | $92.25 | $131.80 | $202.71 | |
United
| Professional | $113.66 | $166.49 | $342.80 |