| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.60 | $58.67 | $145.16 | |
BCBS
| Professional | $104.00 | $104.00 | $104.00 | |
Cigna
| Professional | $46.36 | $74.03 | $125.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $57.82 | $72.06 | $137.72 |