| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.72 | $103.29 | $125.53 | |
BCBS
| Professional | $100.00 | $114.08 | $175.83 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Molina
| Professional | $101.83 | $140.57 | $215.10 | |
United
| Professional | $112.22 | $164.03 | $230.30 |