| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $148.60 | $148.60 | $163.33 | |
BCBS
| Professional | $162.69 | $217.00 | $301.31 | |
Cigna
| Professional | $197.93 | $225.01 | $408.12 | |
Medcost
| Professional | $399.25 | $399.25 | $399.25 | |
Molina
| Professional | $41.02 | $153.00 | $231.47 | |
United
| Professional | $178.21 | $227.79 | $378.03 |