| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.54 | $165.07 | $253.41 | |
BCBS
| Professional | $227.00 | $227.00 | $227.00 | |
Cigna
| Professional | $147.66 | $147.66 | $321.76 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $139.56 | $192.30 | $242.66 |