| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $125.89 | $181.97 | |
BCBS
| Professional | $117.49 | $138.04 | $199.53 | |
Cigna
| Professional | $125.89 | $144.54 | $229.09 | |
Medcost
| Professional | $141.25 | $141.25 | $141.25 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $102.33 | $125.89 | $186.21 |