| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $61.66 | $67.61 | |
BCBS
| Professional | $58.88 | $79.43 | $97.72 | |
Cigna
| Professional | $33.11 | $33.11 | $33.11 | |
Medcost
| Facility | $38.90 | $64.57 | $79.43 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $28.84 | $35.48 | $46.77 |