| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.42 | $186.50 | $396.08 | |
BCBS
| Professional | $150.47 | $205.78 | $383.57 | |
Cigna
| Professional | $207.33 | $283.27 | $414.53 | |
Medcost
| Professional | $159.74 | $159.74 | $159.74 | |
Molina
| Professional | $146.59 | $187.40 | $292.92 | |
United
| Professional | $162.10 | $213.86 | $414.53 |