| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.87 | $124.37 | $238.56 | |
BCBS
| Professional | $315.00 | $315.00 | $315.00 | |
Cigna
| Professional | $101.55 | $161.69 | $240.76 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $112.72 | $146.49 | $316.87 |