| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.07 | $252.90 | $729.25 | |
BCBS
| Professional | $154.32 | $226.25 | $494.24 | |
Cigna
| Professional | $199.98 | $199.98 | $1,488.81 | |
Molina
| Professional | $32.34 | $32.34 | $321.99 | |
Providence
| Professional | $199.98 | $199.98 | $199.98 | |
United
| Professional | $244.43 | $327.88 | $513.03 |