| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.46 | $216.58 | $1,055.01 | |
BCBS
| Professional | $116.44 | $169.16 | $293.01 | |
Cigna
| Professional | $152.07 | $152.07 | $349.27 | |
Molina
| Professional | $32.34 | $32.34 | $244.91 | |
Providence
| Professional | $152.07 | $152.07 | $152.07 | |
United
| Professional | $191.85 | $245.86 | $383.55 |