| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $75.86 | $218.78 | |
BCBS
| Professional | $52.48 | $69.18 | $165.96 | |
Cigna
| Professional | $61.66 | $91.20 | $125.89 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
Providence
| Professional | $77.62 | $125.89 | $229.09 | |
United
| Professional | $40.74 | $50.12 | $109.65 |