| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.78 | $158.68 | $866.42 | |
BCBS
| Professional | $95.15 | $130.46 | $173.73 | |
Cigna
| Professional | $421.34 | $421.34 | $421.34 | |
Molina
| Professional | $129.12 | $129.12 | $129.12 | |
Providence
| Professional | $421.34 | $421.34 | $421.34 | |
United
| Professional | $183.48 | $228.26 | $326.39 |