| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $112.20 | $190.55 | |
BCBS
| Professional | $93.33 | $223.87 | $223.87 | |
Cigna
| Professional | $104.71 | $147.91 | $239.88 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $81.28 | $117.49 | $245.47 |