| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $139.57 | $241.67 | $487.65 | |
BCBS
| Professional | $372.00 | $372.00 | $372.00 | |
Cigna
| Professional | $188.08 | $293.27 | $489.58 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $212.78 | $277.33 | $642.92 |