| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.08 | $60.13 | $101.16 | |
BCBS
| Professional | $119.00 | $119.00 | $119.00 | |
Cigna
| Professional | $29.61 | $74.91 | $149.82 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $63.67 | $78.20 | $105.11 |