| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.72 | $250.03 | $497.14 | |
BCBS
| Professional | $197.14 | $211.00 | $211.00 | |
Cigna
| Professional | $145.24 | $255.20 | $420.24 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $194.02 | $268.57 | $554.65 |