| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.56 | $21.56 | $31.14 | |
Aetna
| Professional | $16.17 | $28.57 | $47.81 | |
BCBS
| Professional | $15.17 | $31.76 | $46.12 | |
Cigna
| Professional | $21.12 | $34.24 | $48.34 | |
Molina
| Professional | $4.64 | $32.34 | $41.52 | |
Providence
| Facility | $19.34 | $26.70 | $38.22 | |
Providence
| Professional | $22.93 | $34.24 | $48.34 | |
United
| Professional | $29.67 | $40.15 | $55.43 |