| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $147.91 | $323.59 | |
BCBS
| Professional | $302.00 | $302.00 | $302.00 | |
Cigna
| Professional | $123.03 | $181.97 | $263.03 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $120.23 | $151.36 | $346.74 |