| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $152.08 | $152.94 | $258.61 | |
BCBS
| Professional | $105.00 | $125.89 | $220.03 | |
Cigna
| Professional | $145.00 | $200.73 | $784.59 | |
Medcost
| Professional | $121.08 | $121.08 | $121.08 | |
Molina
| Professional | $115.03 | $148.02 | $230.35 | |
United
| Professional | $129.78 | $170.27 | $310.14 |