| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $47.86 | $87.10 | |
BCBS
| Professional | $18.62 | $43.65 | $93.33 | |
Cigna
| Professional | $18.20 | $47.86 | $120.23 | |
Medcost
| Facility | $20.89 | $64.57 | $114.82 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $16.60 | $33.11 | $77.62 |