| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.45 | $113.80 | $228.71 | |
BCBS
| Professional | $140.60 | $140.60 | $140.60 | |
Cigna
| Professional | $85.76 | $304.29 | $375.00 | |
Molina
| Professional | $266.07 | $266.07 | $266.07 | |
United
| Professional | $32.61 | $43.63 | $103.97 |