| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.15 | $152.55 | $261.58 | |
BCBS
| Professional | $68.48 | $120.24 | $186.28 | |
Cigna
| Professional | $122.47 | $185.87 | $239.60 | |
Molina
| Professional | $32.34 | $183.43 | $192.10 | |
Providence
| Professional | $127.58 | $198.26 | $282.67 | |
United
| Professional | $139.33 | $196.49 | $265.32 |