| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $167.46 | $259.47 | $509.86 | |
BCBS
| Professional | $446.00 | $446.00 | $446.00 | |
Cigna
| Professional | $172.92 | $303.33 | $518.89 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $233.79 | $297.16 | $586.34 |