| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.03 | $136.08 | $267.33 | |
BCBS
| Professional | $155.00 | $155.00 | $155.00 | |
Cigna
| Professional | $63.89 | $135.06 | $247.14 | |
Molina
| Professional | $32.34 | $32.34 | $54.07 | |
United
| Professional | $133.22 | $162.01 | $236.26 |