| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $171.11 | $235.86 | $420.22 | |
BCBS
| Professional | $153.21 | $226.25 | $385.53 | |
Cigna
| Professional | $198.79 | $198.79 | $467.28 | |
Molina
| Professional | $32.34 | $32.34 | $320.08 | |
Providence
| Professional | $198.79 | $198.79 | $198.79 | |
United
| Professional | $244.43 | $328.86 | $513.03 |