| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.97 | $35.47 | $183.16 | |
BCBS
| Professional | $25.31 | $34.13 | $81.08 | |
Cigna
| Professional | $159.27 | $168.33 | $201.68 | |
Molina
| Professional | $32.34 | $32.34 | $55.34 | |
Providence
| Professional | $41.20 | $69.02 | $110.21 | |
United
| Professional | $43.71 | $70.97 | $98.04 |