| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.15 | $119.54 | $224.88 | |
BCBS
| Professional | $190.00 | $190.00 | $190.00 | |
Cigna
| Professional | $81.20 | $136.72 | $239.91 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $107.98 | $139.44 | $261.89 |