| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $53.70 | $60.26 | |
BCBS
| Professional | $51.29 | $69.18 | $85.11 | |
Cigna
| Professional | $29.51 | $29.51 | $29.51 | |
Medcost
| Facility | $34.67 | $57.54 | $70.79 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $25.70 | $30.20 | $40.74 |