| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.08 | $264.33 | $275.29 | |
BCBS
| Professional | $211.00 | $211.00 | $211.00 | |
Cigna
| Professional | $152.07 | $152.07 | $152.07 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $143.76 | $201.89 | $325.63 |