| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.04 | $61.30 | $80.20 | |
BCBS
| Professional | $92.00 | $92.00 | $92.00 | |
Cigna
| Professional | $31.57 | $91.31 | $118.74 | |
Molina
| Professional | $22.30 | $32.34 | $32.34 | |
United
| Professional | $47.28 | $69.05 | $105.00 |