| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.11 | $163.80 | $338.47 | |
BCBS
| Professional | $227.00 | $227.00 | $227.00 | |
Cigna
| Professional | $165.47 | $246.70 | $344.32 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $152.77 | $193.26 | $374.24 |