| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.74 | $102.20 | $172.02 | |
BCBS
| Professional | $126.00 | $126.00 | $126.00 | |
Cigna
| Professional | $83.73 | $113.51 | $179.28 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $78.53 | $98.86 | $157.06 |