| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.14 | $40.21 | $145.00 | |
BCBS
| Professional | $19.43 | $25.50 | $54.22 | |
Cigna
| Professional | $64.48 | $64.48 | $64.48 | |
Molina
| Professional | $38.13 | $38.13 | $38.13 | |
Providence
| Professional | $64.48 | $64.48 | $64.48 | |
United
| Professional | $42.63 | $50.40 | $65.01 |