| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.17 | $214.65 | $618.17 | |
BCBS
| Professional | $302.00 | $302.00 | $634.28 | |
Cigna
| Professional | $127.92 | $224.43 | $377.83 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $177.31 | $265.38 | $508.89 |