| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.95 | $124.10 | $137.69 | |
BCBS
| Professional | $142.91 | $142.91 | $147.24 | |
Cigna
| Professional | $109.51 | $109.51 | $133.26 | |
Molina
| Professional | $80.83 | $104.96 | $128.32 | |
United
| Professional | $111.47 | $139.44 | $207.94 |