| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.94 | $138.35 | $219.40 | |
BCBS
| Professional | $162.00 | $162.00 | $162.00 | |
Cigna
| Professional | $51.77 | $135.32 | $212.44 | |
Molina
| Professional | $32.34 | $32.34 | $83.66 | |
United
| Professional | $112.17 | $148.08 | $193.15 |