| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.91 | $214.75 | $477.83 | |
BCBS
| Professional | $249.00 | $249.00 | $249.00 | |
Cigna
| Professional | $190.82 | $276.68 | $424.13 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $184.77 | $239.60 | $483.01 |