| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.79 | $62.27 | $95.92 | |
BCBS
| Professional | $81.00 | $81.00 | $81.00 | |
Cigna
| Professional | $48.04 | $75.25 | $103.84 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $48.55 | $58.91 | $123.16 |