| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.54 | $128.08 | $442.06 | |
BCBS
| Professional | $147.00 | $147.00 | $147.00 | |
Cigna
| Professional | $44.59 | $139.41 | $292.89 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $128.47 | $168.63 | $371.69 |