| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.92 | $93.28 | $93.28 | |
Aetna
| Professional | 52 | $22.81 | $22.81 | $22.81 |
BCBS
| Professional | $55.49 | $115.00 | $150.80 | |
Cigna
| Professional | $55.95 | $72.00 | $90.00 | |
Medcost
| Professional | $109.35 | $111.71 | $139.00 | |
Molina
| Professional | $58.26 | $68.54 | $82.88 | |
United
| Professional | $21.43 | $35.51 | $96.62 |