| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.89 | $109.91 | $130.38 | |
BCBS
| Professional | $114.74 | $114.74 | $156.91 | |
Cigna
| Professional | $109.51 | $109.51 | $134.76 | |
Medcost
| Professional | $126.44 | $126.44 | $126.44 | |
Molina
| Professional | $80.83 | $104.96 | $128.32 | |
United
| Professional | $111.77 | $136.61 | $196.52 |