| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.20 | $57.48 | $62.73 | |
BCBS
| Professional | $14.05 | $27.47 | $43.04 | |
Cigna
| Professional | $30.29 | $44.65 | $76.06 | |
Molina
| Professional | $32.34 | $32.34 | $64.78 | |
Providence
| Professional | $31.13 | $44.65 | $65.76 | |
United
| Professional | $27.01 | $46.20 | $75.00 |