| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.03 | $66.00 | $108.81 | |
BCBS
| Professional | $97.00 | $97.00 | $97.00 | |
Cigna
| Professional | $89.28 | $89.28 | $89.28 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $84.67 | $104.59 | $205.66 |