| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $121.00 | $217.67 | $392.07 | |
BCBS
| Professional | $128.88 | $214.82 | $360.58 | |
Cigna
| Professional | $174.57 | $251.24 | $423.21 | |
Molina
| Professional | $32.34 | $207.65 | $365.76 | |
Providence
| Professional | $155.06 | $251.24 | $423.21 | |
United
| Professional | $253.01 | $341.00 | $552.41 |