| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $85.11 | $151.36 | |
BCBS
| Professional | $213.80 | $213.80 | $213.80 | |
Cigna
| Professional | $46.77 | $77.62 | $128.82 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $45.71 | $87.10 | $181.97 |