| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.05 | $122.29 | $139.66 | |
BCBS
| Professional | $100.00 | $134.05 | $196.45 | |
Cigna
| Professional | $135.10 | $135.10 | $135.10 | |
Molina
| Professional | $127.29 | $175.71 | $268.87 | |
United
| Professional | $131.06 | $208.87 | $299.83 |