| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.33 | $62.12 | $121.52 | |
BCBS
| Professional | $94.00 | $94.00 | $94.00 | |
Cigna
| Professional | $29.33 | $77.28 | $151.79 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $31.83 | $86.66 | $104.59 |