| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.44 | $39.44 | $43.99 | |
BCBS
| Professional | $14.00 | $14.70 | $50.81 | |
Cigna
| Professional | $7.16 | $20.85 | $51.44 | |
Medcost
| Facility | $15.13 | $20.00 | $45.50 | |
Molina
| Professional | $27.81 | $27.81 | $27.81 | |
United
| Professional | $8.92 | $30.34 | $70.78 |