| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.14 | $36.40 | $49.70 | |
BCBS
| Professional | $162.00 | $162.00 | $162.00 | |
Cigna
| Professional | $55.95 | $72.00 | $90.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $23.68 | $58.23 | $146.36 |