| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.05 | $25.94 | $115.84 | |
BCBS
| Professional | $14.06 | $18.45 | $24.55 | |
Cigna
| Professional | $44.23 | $44.23 | $44.23 | |
Molina
| Professional | $26.14 | $26.14 | $26.14 | |
Providence
| Professional | $44.23 | $44.23 | $44.23 | |
United
| Professional | $27.28 | $31.35 | $42.77 |