| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $165.96 | $186.21 | $229.09 | |
BCBS
| Professional | $208.93 | $223.87 | $295.12 | |
Cigna
| Professional | $186.21 | $186.21 | $229.09 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $190.55 | $239.88 | $354.81 |