| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $180.65 | $350.91 | $365.44 | |
BCBS
| Professional | $248.00 | $248.00 | $248.00 | |
Cigna
| Professional | $198.79 | $198.79 | $198.79 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $179.11 | $263.99 | $424.39 |