| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.68 | $242.86 | $523.41 | |
BCBS
| Professional | $197.59 | $240.00 | $240.00 | |
Cigna
| Professional | $161.05 | $276.77 | $446.81 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $203.54 | $284.32 | $601.75 |