| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.66 | $91.20 | $100.00 | |
BCBS
| Professional | $87.10 | $117.49 | $144.54 | |
Cigna
| Professional | $51.29 | $51.29 | $51.29 | |
Medcost
| Facility | $60.26 | $95.50 | $120.23 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $42.66 | $52.48 | $69.18 |