| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.21 | $80.95 | $136.49 | |
BCBS
| Professional | $66.03 | $67.11 | $88.04 | |
Cigna
| Professional | $88.98 | $88.98 | $88.98 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
Providence
| Professional | $88.98 | $113.23 | $232.80 | |
United
| Professional | $72.16 | $135.96 | $264.66 |