| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.24 | $135.79 | $260.05 | |
BCBS
| Professional | $80.15 | $138.94 | $294.25 | |
Cigna
| Professional | $109.83 | $169.53 | $302.33 | |
Molina
| Professional | $32.34 | $49.35 | $259.63 | |
Providence
| Professional | $111.07 | $201.03 | $389.67 | |
United
| Professional | $166.01 | $225.40 | $347.60 |