| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.11 | $60.87 | $83.65 | |
BCBS
| Professional | $260.00 | $260.00 | $260.00 | |
Cigna
| Professional | $40.99 | $96.56 | $266.89 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $36.83 | $49.24 | $250.74 |