| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $174.55 | $287.02 | $598.36 | |
BCBS
| Professional | $496.00 | $496.00 | $496.00 | |
Cigna
| Professional | $181.72 | $364.26 | $784.55 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $331.70 | $418.86 | $882.81 |