| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $78.73 | $173.89 | $545.79 | |
BCBS
| Professional | $308.00 | $308.00 | $308.00 | |
Cigna
| Professional | $115.82 | $258.70 | $552.71 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $267.66 | $343.79 | $657.22 |