| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $524.81 | $676.08 | $1,000.00 | |
BCBS
| Professional | $870.96 | $870.96 | $870.96 | |
Cigna
| Professional | $537.03 | $851.14 | $1,071.52 | |
Molina
| Professional | $32.36 | $33.11 | $67.61 | |
United
| Professional | $562.34 | $707.95 | $1,000.00 |