| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.46 | $60.92 | $211.80 | |
BCBS
| Professional | $25.05 | $32.86 | $68.48 | |
Cigna
| Professional | $115.00 | $115.00 | $115.00 | |
Molina
| Professional | $38.13 | $38.13 | $38.13 | |
Providence
| Professional | $115.00 | $115.00 | $115.00 | |
United
| Professional | $54.39 | $78.12 | $98.40 |