| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.55 | $169.37 | $507.74 | |
BCBS
| Professional | $297.00 | $297.00 | $1,375.25 | |
Cigna
| Professional | $103.08 | $186.65 | $301.27 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $140.90 | $186.49 | $405.24 |