| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $292.25 | $424.51 | $657.46 | |
BCBS
| Professional | $574.00 | $574.00 | $574.00 | |
Cigna
| Professional | $309.22 | $518.57 | $894.26 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $402.00 | $502.77 | $992.03 |