| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $229.09 | $457.09 | |
BCBS
| Professional | $302.00 | $302.00 | $302.00 | |
Cigna
| Professional | $154.88 | $245.47 | $407.38 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $158.49 | $288.40 | $575.44 |