| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $25.00 | $65.00 | |
BCBS
| Professional | $14.36 | $20.62 | $28.08 | |
Cigna
| Professional | $34.72 | $34.72 | $34.72 | |
Molina
| Professional | $26.14 | $26.14 | $26.14 | |
Providence
| Professional | $34.72 | $34.72 | $34.72 | |
United
| Professional | $14.44 | $29.58 | $60.05 |