| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.47 | $103.02 | $125.53 | |
BCBS
| Professional | $100.00 | $110.93 | $153.12 | |
Cigna
| Professional | $108.92 | $108.92 | $108.92 | |
Molina
| Professional | $101.83 | $140.57 | $215.10 | |
United
| Professional | $114.67 | $158.00 | $229.08 |