| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.43 | $315.58 | $645.63 | |
BCBS
| Professional | $360.00 | $360.00 | $360.00 | |
Cigna
| Professional | $236.55 | $382.13 | $670.10 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $285.54 | $376.16 | $736.97 |