| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.42 | $25.42 | $138.44 | |
BCBS
| Professional | $16.70 | $30.04 | $53.49 | |
Cigna
| Professional | $22.32 | $22.32 | $22.32 | |
Molina
| Professional | $30.04 | $32.34 | $36.04 | |
Providence
| Professional | $22.32 | $53.03 | $64.44 | |
United
| Professional | $15.81 | $16.80 | $42.16 |