| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.13 | $25.12 | $43.65 | |
BCBS
| Professional | $79.43 | $79.43 | $79.43 | |
Cigna
| Professional | $14.13 | $28.18 | $79.43 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $16.60 | $37.15 | $72.44 |