| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $256.86 | $363.42 | $427.47 | |
BCBS
| Professional | $17.00 | $17.00 | $17.00 | |
Cigna
| Professional | $359.63 | $359.63 | $396.07 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $188.82 | $242.45 | $445.21 |