| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.78 | $59.53 | $258.00 | |
BCBS
| Professional | $60.01 | $78.73 | $174.37 | |
Cigna
| Professional | $57.02 | $79.34 | $136.97 | |
Molina
| Professional | $32.34 | $32.34 | $132.13 | |
Providence
| Professional | $57.02 | $76.86 | $125.81 | |
United
| Professional | $65.40 | $101.50 | $145.13 |