| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.09 | $108.53 | $120.39 | |
BCBS
| Professional | $90.00 | $90.00 | $90.00 | |
Cigna
| Professional | $31.22 | $64.04 | $132.27 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $40.13 | $72.64 | $145.53 |