| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.20 | $253.50 | $600.45 | |
BCBS
| Professional | $426.00 | $426.00 | $426.00 | |
Cigna
| Professional | $143.62 | $287.33 | $497.37 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $237.85 | $320.00 | $658.35 |