| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $22.91 | $38.90 | |
BCBS
| Professional | $21.88 | $30.90 | $51.29 | |
Cigna
| Professional | $29.51 | $45.71 | $75.86 | |
Medcost
| Professional | $43.65 | $43.65 | $46.77 | |
Medcost
| Professional | $20.42 | $20.42 | $20.42 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $19.05 | $27.54 | $42.66 |