| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.54 | $223.87 | $371.54 | |
BCBS
| Professional | $125.89 | $208.93 | $309.03 | |
Cigna
| Professional | $177.83 | $257.04 | $457.09 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $158.49 | $257.04 | $436.52 |