| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $190.55 | $323.59 | |
BCBS
| Professional | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $112.20 | $208.93 | $446.68 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $125.89 | $213.80 | $338.84 |