| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.45 | $117.38 | $171.20 | |
BCBS
| Professional | $126.00 | $126.00 | $126.00 | |
Cigna
| Professional | $93.08 | $125.95 | $168.01 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $81.28 | $104.05 | $155.08 |