| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.49 | $132.30 | $197.22 | |
BCBS
| Professional | $187.00 | $187.00 | $187.00 | |
Cigna
| Professional | $108.20 | $172.46 | $201.90 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $93.39 | $120.50 | $267.75 |