| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.72 | $127.59 | $214.77 | |
BCBS
| Professional | $120.00 | $120.00 | $120.00 | |
Cigna
| Professional | $91.75 | $133.72 | $213.96 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $99.21 | $126.16 | $211.66 |