| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.76 | $49.15 | $108.57 | |
BCBS
| Professional | $58.00 | $58.00 | $58.00 | |
Cigna
| Professional | $26.40 | $49.24 | $112.87 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $50.13 | $64.80 | $123.87 |