| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.62 | $166.24 | $323.74 | |
BCBS
| Professional | $96.05 | $160.09 | $310.23 | |
Cigna
| Professional | $95.71 | $186.81 | $354.78 | |
Molina
| Professional | $32.34 | $61.36 | $321.83 | |
Providence
| Professional | $99.69 | $212.94 | $485.03 | |
United
| Professional | $195.99 | $278.63 | $421.94 |