| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.33 | $136.30 | $291.00 | |
BCBS
| Professional | $64.48 | $158.19 | $211.16 | |
Cigna
| Professional | $122.79 | $181.72 | $238.50 | |
Molina
| Professional | $32.34 | $60.33 | $218.65 | |
Providence
| Professional | $122.79 | $181.72 | $241.27 | |
United
| Professional | $150.75 | $193.41 | $310.22 |