| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.63 | $48.16 | $55.16 | |
BCBS
| Professional | $24.00 | $32.17 | $58.55 | |
Cigna
| Professional | $26.14 | $55.30 | $92.67 | |
Medcost
| Professional | $25.00 | $26.51 | $30.00 | |
Molina
| Professional | $61.87 | $75.96 | $120.66 | |
United
| Professional | $25.64 | $50.16 | $75.23 |