| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.53 | $243.68 | $1,200.00 | |
BCBS
| Professional | $153.65 | $209.40 | $493.58 | |
Cigna
| Professional | $199.09 | $199.09 | $1,488.81 | |
Molina
| Professional | $32.34 | $32.34 | $320.56 | |
Providence
| Professional | $199.09 | $199.09 | $199.09 | |
United
| Professional | $224.06 | $293.05 | $512.32 |