| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.78 | $265.99 | $524.35 | |
BCBS
| Professional | $447.00 | $447.00 | $447.00 | |
Cigna
| Professional | $175.78 | $310.68 | $528.65 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $238.82 | $305.80 | $598.94 |