| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.23 | $166.24 | $448.00 | |
BCBS
| Professional | $220.00 | $220.00 | $482.48 | |
Cigna
| Professional | $90.15 | $195.58 | $346.34 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $172.56 | $219.03 | $473.20 |