| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.24 | $157.72 | $770.21 | |
BCBS
| Professional | $84.51 | $115.09 | $212.67 | |
Cigna
| Professional | $109.51 | $109.51 | $228.00 | |
Molina
| Professional | $32.34 | $32.34 | $176.32 | |
Providence
| Professional | $109.51 | $109.51 | $109.51 | |
United
| Professional | $136.41 | $163.94 | $280.10 |