| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $123.03 | $173.78 | $194.98 | |
BCBS
| Professional | $199.53 | $208.93 | $208.93 | |
Cigna
| Professional | $154.88 | $154.88 | $186.21 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $154.88 | $190.55 | $288.40 |