| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $141.25 | $239.88 | |
BCBS
| Professional | $112.20 | $302.00 | $302.00 | |
Cigna
| Professional | $131.83 | $190.55 | $302.00 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $104.71 | $151.36 | $295.12 |