| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $38.90 | $288.40 | |
BCBS
| Professional | $29.51 | $51.29 | $75.86 | |
Cigna
| Professional | $24.55 | $47.86 | $67.61 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
Providence
| Professional | $41.69 | $67.61 | $112.20 | |
United
| Professional | $25.70 | $26.92 | $72.44 |