| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $180.90 | $278.20 | $365.96 | |
BCBS
| Professional | $280.00 | $280.00 | $280.00 | |
Cigna
| Professional | $199.98 | $199.98 | $199.98 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $183.81 | $257.73 | $562.73 |