| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.22 | $214.11 | $227.70 | |
BCBS
| Professional | $188.00 | $188.00 | $188.00 | |
Cigna
| Professional | $135.10 | $135.10 | $135.10 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $126.14 | $188.11 | $265.76 |