| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.87 | $30.88 | $46.95 | |
BCBS
| Professional | $27.65 | $29.05 | $41.32 | |
Cigna
| Professional | $26.08 | $36.24 | $58.78 | |
Molina
| Professional | $32.34 | $32.34 | $62.41 | |
Providence
| Professional | $26.08 | $36.24 | $58.78 | |
United
| Professional | $28.49 | $38.88 | $42.95 |