| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.38 | $84.91 | $124.37 | |
BCBS
| Professional | $93.00 | $93.00 | $93.00 | |
Cigna
| Professional | $53.46 | $90.56 | $163.35 | |
Molina
| Professional | $25.00 | $48.84 | $82.17 | |
United
| Professional | $58.45 | $92.90 | $108.38 |