| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $66.07 | $107.15 | |
BCBS
| Professional | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $89.13 | $89.13 | $89.13 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $66.07 | $95.50 | $165.96 |