| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.77 | $72.44 | $93.33 | |
Aetna
| Professional | 52 | $22.91 | $22.91 | $22.91 |
BCBS
| Professional | $43.65 | $43.65 | $75.86 | |
Cigna
| Professional | $72.44 | $72.44 | $89.13 | |
Molina
| Professional | $32.36 | $33.11 | $114.82 | |
Providence
| Professional | $48.98 | $60.26 | $60.26 | |
United
| Professional | $35.48 | $74.13 | $141.25 |