| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $18.20 | $23.99 | |
BCBS
| Professional | $50.12 | $63.10 | $75.86 | |
Cigna
| Professional | $19.05 | $21.88 | $30.90 | |
Medcost
| Facility | $15.49 | $19.50 | $30.20 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $19.95 | $50.12 | $79.43 |