| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.79 | $79.08 | $129.00 | |
BCBS
| Professional | $105.00 | $105.00 | $105.00 | |
Cigna
| Professional | $47.69 | $92.65 | $168.88 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $81.76 | $96.50 | $113.91 |