| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $57.54 | $93.33 | |
BCBS
| Professional | $26.92 | $58.88 | $93.33 | |
Cigna
| Professional | $30.20 | $60.26 | $120.23 | |
Medcost
| Facility | $26.92 | $61.66 | $100.00 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $26.92 | $53.70 | $87.10 |