| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.68 | $195.17 | $517.33 | |
BCBS
| Professional | $304.00 | $304.00 | $1,676.54 | |
Cigna
| Professional | $114.59 | $193.69 | $273.94 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $111.35 | $152.91 | $304.61 |