| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.40 | $60.45 | $106.39 | |
BCBS
| Professional | $116.00 | $116.00 | $116.00 | |
Cigna
| Professional | $31.66 | $68.48 | $126.92 | |
Molina
| Professional | $17.00 | $20.00 | $25.00 | |
United
| Professional | $65.06 | $78.93 | $93.84 |