| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.42 | $89.16 | $113.75 | |
BCBS
| Professional | $88.18 | $175.00 | $261.44 | |
Cigna
| Professional | $88.98 | $88.98 | $88.98 | |
Medcost
| Professional | $64.67 | $240.00 | $242.97 | |
Molina
| Professional | $82.23 | $109.24 | $169.36 | |
United
| Professional | $50.31 | $91.51 | $213.29 |