| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $107.15 | $158.49 | $281.84 | |
BCBS
| Professional | $107.15 | $144.54 | $229.09 | |
Cigna
| Professional | $125.89 | $177.83 | $323.59 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $109.65 | $165.96 | $269.15 |