| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.63 | $192.51 | $423.90 | |
BCBS
| Professional | $252.00 | $252.00 | $252.00 | |
Cigna
| Professional | $117.50 | $209.82 | $448.28 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $199.85 | $260.33 | $503.20 |