| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.29 | $51.55 | $120.15 | |
BCBS
| Professional | $44.92 | $49.15 | $69.93 | |
Cigna
| Professional | $42.46 | $58.25 | $91.64 | |
Molina
| Professional | $32.34 | $75.00 | $108.00 | |
Providence
| Professional | $42.46 | $58.25 | $91.64 | |
United
| Professional | $49.69 | $55.48 | $73.00 |