| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.45 | $99.88 | $131.13 | |
BCBS
| Professional | $66.00 | $87.41 | $152.62 | |
Cigna
| Professional | $114.73 | $133.08 | $247.28 | |
Medcost
| Professional | $22.85 | $26.40 | $132.40 | |
Molina
| Professional | $123.75 | $152.27 | $241.32 | |
United
| Professional | $94.86 | $112.37 | $175.22 |