| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $516.99 | $583.39 | $1,021.49 | |
BCBS
| Professional | $603.00 | $603.00 | $603.00 | |
Cigna
| Professional | $454.60 | $586.35 | $876.35 | |
Molina
| Professional | $25.00 | $50.00 | $80.00 | |
United
| Professional | $315.63 | $428.18 | $672.03 |