| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.73 | $72.61 | $150.15 | |
BCBS
| Professional | $99.00 | $99.00 | $99.00 | |
Cigna
| Professional | $58.21 | $93.87 | $150.15 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $66.88 | $90.75 | $193.17 |