| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.44 | $23.40 | $27.65 | |
BCBS
| Professional | $24.19 | $25.66 | $33.86 | |
Cigna
| Professional | $27.16 | $33.61 | $60.90 | |
Medcost
| Professional | $97.96 | $97.96 | $97.96 | |
Molina
| Professional | $25.45 | $35.36 | $53.15 | |
United
| Professional | $20.95 | $32.95 | $55.53 |