| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $140.36 | $158.32 | $183.36 | |
BCBS
| Professional | $54.00 | $96.05 | $182.08 | |
Cigna
| Professional | $157.57 | $206.41 | $382.18 | |
Medcost
| Professional | $100.00 | $290.00 | $429.67 | |
Molina
| Professional | $109.64 | $147.66 | $229.84 | |
United
| Professional | $137.69 | $173.59 | $266.62 |