| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.09 | $100.42 | $121.45 | |
BCBS
| Professional | $156.00 | $156.00 | $156.00 | |
Cigna
| Professional | $103.24 | $129.74 | $192.10 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $101.06 | $118.32 | $162.22 |