| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.97 | $258.52 | $355.25 | |
BCBS
| Professional | $285.00 | $285.00 | $285.00 | |
Cigna
| Professional | $186.85 | $324.87 | $416.18 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $159.08 | $208.09 | $433.53 |