| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.27 | $65.69 | $91.73 | |
BCBS
| Professional | $53.90 | $53.90 | $53.90 | |
Cigna
| Professional | $56.82 | $78.66 | $110.24 | |
Medcost
| Facility | $56.34 | $73.53 | $124.58 | |
Medcost
| Professional | $99.61 | $99.61 | $99.61 | |
Molina
| Professional | $75.38 | $80.44 | $94.67 | |
United
| Professional | $55.83 | $77.37 | $109.27 |