| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.02 | $91.02 | $91.02 | |
BCBS
| Professional | $23.00 | $24.15 | $49.10 | |
Cigna
| Professional | $16.43 | $23.12 | $23.12 | |
Medcost
| Facility | $30.78 | $32.00 | $52.76 | |
Molina
| Professional | $24.18 | $24.18 | $24.18 | |
United
| Professional | $15.03 | $18.47 | $26.38 |