| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.93 | $182.93 | $262.64 | |
BCBS
| Professional | $218.00 | $218.00 | $218.00 | |
Cigna
| Professional | $149.81 | $200.00 | $268.83 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $137.61 | $175.26 | $249.20 |