| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.65 | $123.03 | $218.78 | |
BCBS
| Professional | $141.25 | $141.25 | $141.25 | |
Cigna
| Professional | $83.18 | $107.15 | $144.54 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $74.13 | $97.72 | $151.36 |