| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.48 | $48.98 | $79.43 | |
BCBS
| Professional | $8.91 | $26.92 | $61.66 | |
Cigna
| Professional | $43.65 | $61.66 | $93.33 | |
Molina
| Professional | $19.05 | $33.11 | $50.12 | |
Providence
| Professional | $46.77 | $81.28 | $125.89 | |
United
| Professional | $46.77 | $56.23 | $104.71 |