| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.23 | $147.91 | $316.23 | |
BCBS
| Professional | $109.65 | $165.96 | $316.23 | |
Cigna
| Professional | $144.54 | $177.83 | $316.23 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $117.49 | $158.49 | $263.03 |