| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.56 | $21.56 | $25.71 | |
BCBS
| Professional | $9.80 | $14.70 | $27.78 | |
Cigna
| Professional | $6.66 | $12.92 | $40.00 | |
Medcost
| Facility | $12.20 | $20.00 | $27.17 | |
Molina
| Professional | $15.20 | $15.20 | $15.20 | |
United
| Professional | $9.25 | $16.57 | $39.36 |