| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $144.54 | $295.12 | |
BCBS
| Professional | $263.03 | $263.03 | $263.03 | |
Cigna
| Professional | $112.20 | $186.21 | $281.84 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $109.65 | $154.88 | $302.00 |