| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.18 | $229.09 | $389.05 | |
BCBS
| Professional | $446.68 | $446.68 | $446.68 | |
Cigna
| Professional | $162.18 | $295.12 | $524.81 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $190.55 | $257.04 | $436.52 |