| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.27 | $84.69 | $140.44 | |
BCBS
| Professional | $36.15 | $71.36 | $93.62 | |
Cigna
| Professional | $47.77 | $88.99 | $159.03 | |
Molina
| Professional | $32.34 | $85.69 | $151.38 | |
Providence
| Professional | $47.77 | $91.98 | $159.03 | |
United
| Professional | $84.96 | $123.06 | $176.08 |