| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.75 | $48.75 | $48.75 | |
BCBS
| Professional | $153.00 | $153.00 | $153.00 | |
Cigna
| Professional | $178.00 | $178.00 | $204.70 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $168.00 | $168.00 | $230.00 |