| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.64 | $74.93 | $179.65 | |
BCBS
| Professional | $52.27 | $68.58 | $167.46 | |
Cigna
| Professional | $60.02 | $91.44 | $127.33 | |
Molina
| Professional | $32.34 | $32.34 | $112.44 | |
Providence
| Professional | $77.08 | $127.22 | $180.36 | |
United
| Professional | $40.93 | $45.76 | $108.88 |