| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.03 | $108.32 | $176.46 | |
BCBS
| Professional | $87.00 | $87.00 | $87.00 | |
Cigna
| Professional | $68.61 | $103.04 | $147.24 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $71.47 | $94.57 | $140.97 |