| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $91.20 | $162.18 | |
BCBS
| Professional | $43.65 | $67.61 | $117.49 | |
Cigna
| Professional | $61.66 | $95.50 | $186.21 | |
Medcost
| Professional | $120.23 | $120.23 | $245.47 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $45.71 | $77.62 | $138.04 |