| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $151.36 | $223.87 | |
BCBS
| Professional | $338.84 | $338.84 | $338.84 | |
Cigna
| Professional | $138.04 | $218.78 | $380.19 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $117.49 | $186.21 | $446.68 |