| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.98 | $98.94 | $166.54 | |
BCBS
| Professional | $101.00 | $101.00 | $101.00 | |
Cigna
| Professional | $70.42 | $112.32 | $171.05 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $86.32 | $106.61 | $161.83 |