| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.25 | $236.39 | $430.60 | |
BCBS
| Professional | $292.00 | $292.00 | $292.00 | |
Cigna
| Professional | $93.35 | $174.66 | $370.44 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $198.93 | $261.08 | $387.18 |