| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $176.13 | $331.38 | $703.02 | |
BCBS
| Professional | $490.00 | $490.00 | $490.00 | |
Cigna
| Professional | $187.51 | $350.39 | $819.04 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $353.97 | $442.46 | $881.67 |