| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.16 | $143.16 | $143.16 | |
BCBS
| Professional | $21.44 | $36.63 | $101.49 | |
Molina
| Professional | $32.34 | $32.34 | $59.02 | |
Providence
| Professional | $32.68 | $32.68 | $46.76 | |
United
| Professional | $31.13 | $40.58 | $58.27 |