| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $175.09 | $205.63 | $250.86 | |
BCBS
| Professional | $313.00 | $313.00 | $313.00 | |
Cigna
| Professional | $205.71 | $258.97 | $399.51 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $199.22 | $245.90 | $322.43 |