| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $775.47 | $875.05 | $1,533.06 | |
BCBS
| Professional | $793.00 | $891.00 | $891.00 | |
Cigna
| Professional | $682.49 | $879.68 | $1,314.28 | |
Molina
| Professional | $25.00 | $50.00 | $80.00 | |
United
| Professional | $402.63 | $525.52 | $954.84 |