| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $179.89 | $255.53 | $363.91 | |
BCBS
| Professional | $337.00 | $337.00 | $337.00 | |
Cigna
| Professional | $198.79 | $198.79 | $198.79 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $183.81 | $258.70 | $441.37 |