| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $100.00 | $134.90 | |
BCBS
| Professional | $95.50 | $117.49 | $165.96 | |
Cigna
| Professional | $89.13 | $89.13 | $89.13 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $95.50 | $154.88 | $275.42 |