| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $148.47 | $262.92 | $379.35 | |
BCBS
| Professional | $118.42 | $180.33 | $503.19 | |
Cigna
| Professional | $190.80 | $289.81 | $440.74 | |
Molina
| Professional | $32.34 | $32.34 | $244.84 | |
Providence
| Professional | $190.80 | $298.13 | $530.59 | |
United
| Professional | $242.53 | $345.92 | $463.05 |