| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.33 | $264.83 | $275.80 | |
BCBS
| Professional | $190.00 | $190.00 | $190.00 | |
Cigna
| Professional | $150.88 | $150.88 | $150.88 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $139.26 | $188.22 | $302.25 |