| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.91 | $96.72 | $246.12 | |
BCBS
| Professional | $146.00 | $146.00 | $146.00 | |
Cigna
| Professional | $60.69 | $103.50 | $182.65 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $79.52 | $120.83 | $242.91 |