| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.35 | $117.04 | $170.71 | |
BCBS
| Professional | $46.00 | $81.13 | $129.91 | |
Cigna
| Professional | $109.27 | $149.44 | $254.02 | |
Medcost
| Professional | $95.33 | $108.39 | $307.81 | |
Molina
| Professional | $82.23 | $110.74 | $172.38 | |
United
| Professional | $93.38 | $114.55 | $181.69 |