| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.72 | $53.74 | $83.30 | |
BCBS
| Professional | $110.00 | $110.00 | $110.00 | |
Cigna
| Professional | $50.45 | $77.06 | $102.43 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $40.19 | $62.09 | $94.33 |