| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.66 | $133.86 | $149.69 | |
BCBS
| Professional | $94.00 | $112.80 | $167.20 | |
Cigna
| Professional | $98.08 | $136.12 | $234.26 | |
Molina
| Professional | $59.90 | $83.61 | $132.33 | |
United
| Professional | $95.49 | $128.13 | $216.99 |