| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $811.00 | $1,026.71 | $1,843.70 | |
BCBS
| Professional | $657.00 | $1,137.00 | $1,137.00 | |
Cigna
| Professional | $793.83 | $1,038.25 | $1,559.19 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $703.13 | $887.30 | $1,362.78 |