| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.00 | $37.00 | $120.00 | |
BCBS
| Professional | $23.13 | $23.13 | $23.13 | |
Cigna
| Professional | $15.35 | $15.35 | $22.55 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $13.12 | $19.62 | $34.70 |