| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.16 | $24.94 | $108.56 | |
BCBS
| Professional | $242.00 | $242.00 | $242.00 | |
Cigna
| Professional | $41.66 | $41.66 | $42.45 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $29.50 | $42.88 | $404.74 |