| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $158.49 | $208.93 | |
BCBS
| Professional | $144.54 | $194.98 | $239.88 | |
Cigna
| Professional | $91.20 | $91.20 | $91.20 | |
Medcost
| Facility | $117.49 | $165.96 | $208.93 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $79.43 | $89.13 | $114.82 |