| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.36 | $82.23 | $123.79 | |
BCBS
| Professional | $53.45 | $78.26 | $100.43 | |
Cigna
| Professional | $47.87 | $86.59 | $148.63 | |
Molina
| Professional | $11.19 | $55.95 | $93.25 | |
Providence
| Professional | $54.51 | $93.05 | $183.00 | |
United
| Professional | $97.90 | $147.00 | $190.45 |