| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.83 | $227.27 | $252.11 | |
BCBS
| Professional | $123.00 | $123.00 | $123.00 | |
Cigna
| Professional | $60.44 | $108.94 | $215.46 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $47.16 | $121.04 | $231.30 |