| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $26.00 | $130.00 | |
BCBS
| Professional | $10.21 | $14.12 | $24.96 | |
Cigna
| Professional | $17.20 | $17.20 | $17.20 | |
Molina
| Professional | $26.14 | $26.14 | $26.14 | |
Providence
| Professional | $17.20 | $17.20 | $17.20 | |
United
| Professional | $12.28 | $14.79 | $20.39 |