| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.25 | $55.56 | $62.84 | |
BCBS
| Professional | $38.79 | $50.91 | $124.31 | |
Cigna
| Professional | $54.44 | $72.43 | $93.83 | |
Molina
| Professional | $32.34 | $32.34 | $83.37 | |
Providence
| Professional | $56.81 | $80.48 | $145.56 | |
United
| Professional | $57.02 | $75.06 | $111.19 |