| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $144.15 | $248.17 | $316.52 | |
BCBS
| Professional | $371.00 | $371.00 | $371.00 | |
Cigna
| Professional | $174.05 | $281.33 | $390.21 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $150.36 | $212.24 | $442.18 |