| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.95 | $23.67 | $36.34 | |
BCBS
| Professional | $22.32 | $25.56 | $31.75 | |
Cigna
| Professional | $22.04 | $31.69 | $46.84 | |
Molina
| Professional | $32.34 | $32.34 | $90.00 | |
Providence
| Professional | $22.04 | $32.29 | $46.84 | |
United
| Professional | $26.69 | $30.54 | $35.36 |