| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.82 | $153.30 | $222.73 | |
BCBS
| Professional | $339.00 | $339.00 | $339.00 | |
Cigna
| Professional | $137.97 | $226.14 | $373.44 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $119.22 | $186.90 | $446.31 |