| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.52 | $35.06 | $120.00 | |
BCBS
| Professional | $8.51 | $11.17 | $18.41 | |
Cigna
| Professional | $30.89 | $30.89 | $30.89 | |
Molina
| Professional | $26.14 | $26.14 | $26.14 | |
Providence
| Professional | $30.89 | $30.89 | $30.89 | |
United
| Professional | $18.61 | $23.85 | $30.24 |