| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.87 | $25.82 | $99.48 | |
BCBS
| Professional | $10.54 | $15.77 | $26.80 | |
Cigna
| Professional | $45.08 | $45.08 | $45.08 | |
Molina
| Professional | $38.13 | $38.13 | $38.13 | |
Providence
| Professional | $45.08 | $45.08 | $45.08 | |
United
| Professional | $23.10 | $33.50 | $46.23 |