| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.75 | $244.00 | $495.57 | |
BCBS
| Professional | $516.00 | $516.00 | $516.00 | |
Cigna
| Professional | $189.49 | $295.07 | $494.45 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $212.94 | $280.14 | $542.86 |