| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.68 | $57.91 | $152.94 | |
BCBS
| Professional | $188.00 | $188.00 | $188.00 | |
Cigna
| Professional | $19.64 | $73.26 | $154.30 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $69.43 | $86.23 | $183.98 |