| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $128.82 | $204.17 | |
BCBS
| Professional | $87.10 | $114.82 | $162.18 | |
Cigna
| Professional | $138.04 | $204.17 | $275.42 | |
Molina
| Professional | $32.36 | $33.11 | $173.78 | |
Providence
| Professional | $138.04 | $194.98 | $263.03 | |
United
| Professional | $131.83 | $194.98 | $269.15 |