| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.40 | $224.44 | $366.78 | |
BCBS
| Professional | $110.27 | $203.90 | $377.19 | |
Cigna
| Professional | $166.08 | $263.61 | $420.50 | |
Molina
| Professional | $32.34 | $72.40 | $383.21 | |
Providence
| Professional | $172.56 | $301.45 | $553.03 | |
United
| Professional | $252.00 | $343.00 | $553.00 |