| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.63 | $30.75 | $42.50 | |
BCBS
| Professional | $2.57 | $22.75 | $82.42 | |
Cigna
| Professional | $46.28 | $91.95 | $123.94 | |
Molina
| Professional | $3.92 | $32.34 | $61.89 | |
Providence
| Professional | $44.56 | $99.09 | $123.94 | |
United
| Professional | $69.03 | $106.91 | $148.80 |