| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.37 | $70.90 | $141.22 | |
BCBS
| Professional | $95.00 | $95.00 | $95.00 | |
Cigna
| Professional | $57.37 | $89.93 | $151.49 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $63.20 | $84.13 | $174.37 |