| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $135.03 | $283.69 | $648.99 | |
BCBS
| Professional | $301.00 | $301.00 | $301.00 | |
Cigna
| Professional | $154.30 | $247.78 | $412.91 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $250.56 | $335.99 | $689.68 |