| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.56 | $227.77 | $315.66 | |
BCBS
| Professional | $85.64 | $224.06 | $324.63 | |
Cigna
| Professional | $104.49 | $200.77 | $297.64 | |
Molina
| Professional | $129.33 | $161.47 | $222.37 | |
United
| Professional | $174.06 | $231.66 | $355.52 |