| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.50 | $122.43 | $148.46 | |
BCBS
| Professional | $169.41 | $183.25 | $183.25 | |
Cigna
| Professional | $118.09 | $151.49 | $222.11 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $116.22 | $149.83 | $186.09 |