| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.86 | $97.99 | $125.41 | |
BCBS
| Professional | $61.49 | $73.12 | $95.30 | |
Cigna
| Professional | $87.82 | $117.79 | $183.52 | |
Molina
| Professional | $32.34 | $32.34 | $156.40 | |
Providence
| Professional | $92.12 | $124.73 | $183.52 | |
United
| Professional | $108.90 | $151.90 | $250.42 |