| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.49 | $144.24 | $251.27 | |
BCBS
| Professional | $140.00 | $140.00 | $140.00 | |
Cigna
| Professional | $120.24 | $162.59 | $212.01 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $108.82 | $135.78 | $222.44 |