| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.76 | $113.44 | $210.36 | |
BCBS
| Professional | $217.00 | $217.00 | $217.00 | |
Cigna
| Professional | $98.86 | $147.85 | $228.72 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $100.24 | $128.35 | $256.72 |