| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $20.89 | $52.48 | |
Aetna
| Professional | CQ | $25.70 | $25.70 | $25.70 |
BCBS
| Professional | $19.95 | $28.18 | $35.48 | |
Cigna
| Professional | $17.38 | $23.99 | $33.11 | |
Medcost
| Professional | $17.38 | $17.38 | $17.38 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $20.42 | $25.70 | $28.84 |