| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $22.91 | $56.23 | |
BCBS
| Professional | $26.30 | $56.23 | $61.66 | |
Cigna
| Professional | $93.33 | $100.00 | $120.23 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
Providence
| Professional | $43.65 | $64.57 | $69.18 | |
United
| Professional | $25.12 | $38.90 | $54.95 |