| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.75 | $63.52 | $241.58 | |
BCBS
| Professional | $31.80 | $48.33 | $116.60 | |
Cigna
| Professional | $47.81 | $71.61 | $110.40 | |
Molina
| Professional | $32.34 | $32.34 | $68.33 | |
Providence
| Professional | $49.57 | $74.59 | $128.25 | |
United
| Professional | $59.10 | $83.23 | $113.98 |