| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.84 | $155.72 | $172.90 | |
BCBS
| Professional | $91.23 | $91.23 | $91.23 | |
Cigna
| Professional | $42.23 | $79.94 | $177.23 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $59.19 | $94.61 | $209.24 |