| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.89 | $76.28 | $143.22 | |
BCBS
| Professional | $103.00 | $103.00 | $103.00 | |
Cigna
| Professional | $40.01 | $85.72 | $162.68 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $59.03 | $89.97 | $106.97 |