| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.06 | $157.16 | $281.18 | |
BCBS
| Professional | $120.00 | $150.85 | $213.45 | |
Cigna
| Professional | $152.07 | $152.07 | $152.07 | |
Molina
| Professional | $127.29 | $175.71 | $268.87 | |
United
| Professional | $151.57 | $216.36 | $369.86 |