| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.11 | $91.60 | $149.68 | |
BCBS
| Professional | $119.00 | $119.00 | $119.00 | |
Cigna
| Professional | $57.03 | $106.51 | $194.77 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $92.57 | $111.96 | $132.07 |