| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $99.07 | $192.44 | $200.41 | |
BCBS
| Professional | $157.00 | $157.00 | $157.00 | |
Cigna
| Professional | $108.92 | $108.92 | $108.92 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $107.80 | $144.88 | $250.73 |