| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.95 | $100.00 | $107.15 | |
BCBS
| Professional | $91.20 | $123.03 | $151.36 | |
Cigna
| Professional | $58.88 | $58.88 | $58.88 | |
Medcost
| Facility | $74.13 | $102.33 | $131.83 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $47.86 | $56.23 | $72.44 |