| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.88 | $135.88 | $148.46 | |
BCBS
| Professional | $145.21 | $298.00 | $390.77 | |
Cigna
| Professional | $195.05 | $242.85 | $399.88 | |
Medcost
| Professional | $399.25 | $399.25 | $399.25 | |
Molina
| Professional | $41.02 | $122.14 | $192.18 | |
United
| Professional | $163.38 | $208.90 | $356.62 |