| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $171.30 | $202.31 | $903.87 | |
BCBS
| Professional | $95.66 | $148.33 | $385.64 | |
Cigna
| Professional | $570.36 | $602.83 | $722.26 | |
Molina
| Professional | $32.34 | $32.34 | $196.42 | |
Providence
| Professional | $155.69 | $284.63 | $454.72 | |
United
| Professional | $186.80 | $279.83 | $370.19 |