| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.18 | $69.18 | $117.49 | |
BCBS
| Professional | $93.33 | $93.33 | $93.33 | |
Cigna
| Professional | $28.84 | $77.62 | $141.25 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $28.18 | $58.88 | $100.00 |