| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.79 | $25.93 | $57.27 | |
BCBS
| Professional | $80.00 | $80.00 | $80.00 | |
Cigna
| Professional | $14.87 | $28.53 | $87.84 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $37.00 | $49.80 | $97.93 |