| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $153.59 | $256.75 | $518.69 | |
BCBS
| Professional | $325.00 | $325.00 | $325.00 | |
Cigna
| Professional | $204.23 | $312.70 | $524.77 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $227.02 | $296.14 | $593.45 |