| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $139.71 | $209.70 | $379.01 | |
BCBS
| Professional | $99.58 | $240.72 | $389.24 | |
Cigna
| Professional | $167.58 | $258.54 | $423.99 | |
Molina
| Professional | $32.34 | $74.71 | $396.73 | |
Providence
| Professional | $172.35 | $306.72 | $565.76 | |
United
| Professional | $235.00 | $331.35 | $552.21 |