| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.03 | $58.43 | $154.58 | |
BCBS
| Professional | $95.00 | $95.00 | $95.00 | |
Cigna
| Professional | $30.47 | $52.69 | $96.47 | |
Molina
| Professional | $32.34 | $32.34 | $91.57 | |
Providence
| Professional | $33.90 | $56.67 | $113.46 | |
United
| Professional | $67.88 | $89.18 | $111.14 |