| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.07 | $192.44 | $200.41 | |
BCBS
| Professional | $155.00 | $155.00 | $155.00 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $107.80 | $143.44 | $307.08 |