| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.86 | $47.86 | $63.10 | |
BCBS
| Professional | $151.36 | $151.36 | $151.36 | |
Cigna
| Professional | $177.83 | $177.83 | $204.17 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $169.82 | $223.87 | $229.09 |