| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.82 | $138.04 | $234.42 | |
BCBS
| Professional | $165.96 | $165.96 | $165.96 | |
Cigna
| Professional | $117.49 | $162.18 | $229.09 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $102.33 | $131.83 | $204.17 |