| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $50.12 | $58.88 | |
BCBS
| Professional | $46.77 | $63.10 | $77.62 | |
Cigna
| Professional | $29.51 | $29.51 | $29.51 | |
Medcost
| Facility | $40.74 | $54.95 | $66.07 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $23.99 | $29.51 | $37.15 |