| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.89 | $136.30 | $351.91 | |
BCBS
| Professional | $257.00 | $257.00 | $257.00 | |
Cigna
| Professional | $109.29 | $180.38 | $261.62 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $120.25 | $156.19 | $281.73 |