| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.75 | $81.83 | $135.10 | |
BCBS
| Professional | $149.00 | $149.00 | $149.00 | |
Cigna
| Professional | $64.61 | $99.27 | $188.21 | |
Molina
| Professional | $32.34 | $32.34 | $37.64 | |
United
| Professional | $65.31 | $112.61 | $179.00 |