| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.86 | $57.16 | $100.00 | |
BCBS
| Professional | $77.00 | $77.00 | $77.00 | |
Cigna
| Professional | $33.97 | $33.97 | $89.44 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $30.30 | $57.60 | $79.50 |