| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.81 | $27.50 | $31.82 | |
BCBS
| Professional | $35.94 | $37.38 | $49.15 | |
Cigna
| Professional | $26.22 | $43.55 | $114.34 | |
Medcost
| Professional | $16.57 | $33.74 | $34.14 | |
Molina
| Professional | $61.87 | $75.96 | $120.66 | |
United
| Professional | $29.51 | $33.79 | $38.28 |