| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.35 | $78.34 | $125.01 | |
BCBS
| Professional | $45.97 | $60.31 | $128.25 | |
Cigna
| Professional | $51.51 | $93.53 | $118.49 | |
Molina
| Professional | $32.34 | $92.00 | $95.40 | |
Providence
| Professional | $63.24 | $103.02 | $139.69 | |
United
| Professional | $76.62 | $104.91 | $131.80 |