| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $199.53 | $323.59 | |
BCBS
| Professional | $302.00 | $302.00 | $302.00 | |
Cigna
| Professional | $114.82 | $213.80 | $354.81 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $104.71 | $186.21 | $354.81 |