| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $58.88 | $104.71 | |
BCBS
| Professional | $114.82 | $114.82 | $114.82 | |
Cigna
| Professional | $30.90 | $69.18 | $123.03 | |
Molina
| Professional | $21.38 | $25.12 | $50.12 | |
United
| Professional | $30.20 | $53.70 | $87.10 |