| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $106.52 | $236.25 | $285.35 | |
BCBS
| Professional | $284.97 | $284.97 | $284.97 | |
Cigna
| Professional | $63.65 | $157.18 | $333.35 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $107.40 | $179.00 | $364.80 |