| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.64 | $208.82 | $360.40 | |
BCBS
| Professional | $266.00 | $266.00 | $266.00 | |
Cigna
| Professional | $123.39 | $205.18 | $300.02 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $133.43 | $165.97 | $340.29 |