| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.67 | $40.25 | $73.95 | |
BCBS
| Professional | $69.00 | $69.00 | $69.00 | |
Cigna
| Professional | $34.88 | $55.18 | $77.12 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $50.65 | $56.28 | $64.00 |