| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.19 | $187.28 | $223.42 | |
BCBS
| Professional | $193.83 | $193.83 | $265.06 | |
Cigna
| Professional | $184.50 | $184.50 | $230.97 | |
Medcost
| Professional | $217.01 | $217.01 | $217.01 | |
Molina
| Professional | $161.66 | $209.92 | $256.65 | |
United
| Professional | $192.34 | $240.63 | $328.13 |