| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.46 | $118.21 | $187.18 | |
BCBS
| Professional | $129.00 | $129.00 | $129.00 | |
Cigna
| Professional | $86.83 | $127.99 | $212.99 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $103.45 | $121.71 | $141.58 |