| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.17 | $147.99 | $252.17 | |
BCBS
| Professional | $118.00 | $118.00 | $118.00 | |
Cigna
| Professional | $112.27 | $157.91 | $203.39 | |
Molina
| Professional | $32.34 | $32.34 | $93.91 | |
United
| Professional | $102.46 | $135.21 | $211.73 |