| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $34.63 | $42.90 | |
BCBS
| Professional | $41.13 | $43.19 | $83.20 | |
Cigna
| Professional | $41.66 | $41.66 | $299.00 | |
Medcost
| Professional | $127.44 | $127.44 | $127.44 | |
Molina
| Professional | $25.48 | $35.14 | $51.41 | |
United
| Professional | $32.10 | $54.62 | $255.53 |