| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.31 | $120.31 | $228.65 | |
BCBS
| Professional | $222.00 | $222.00 | $222.00 | |
Cigna
| Professional | $103.10 | $150.00 | $237.74 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $106.45 | $134.82 | $263.68 |