| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.88 | $43.65 | $47.86 | |
BCBS
| Professional | $41.69 | $56.23 | $69.18 | |
Cigna
| Professional | $23.44 | $23.44 | $23.44 | |
Medcost
| Facility | $27.54 | $45.71 | $57.54 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $20.42 | $25.12 | $33.11 |