| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $204.17 | $323.59 | |
BCBS
| Professional | $309.03 | $309.03 | $309.03 | |
Cigna
| Professional | $117.49 | $213.80 | $354.81 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $107.15 | $199.53 | $380.19 |