| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.72 | $102.46 | $355.47 | |
Aetna
| Professional | $7.91 | $10.56 | $21.50 | |
BCBS
| Facility | $19.00 | $69.94 | $300.00 | |
BCBS
| Professional | $6.48 | $8.64 | $9.94 | |
Cigna
| Facility | $6.86 | $6.86 | $6.86 | |
Cigna
| Professional | $6.70 | $12.39 | $19.73 | |
Molina
| Professional | $5.81 | $12.67 | $12.67 | |
Providence
| Facility | $8.41 | $12.67 | $20.68 | |
Providence
| Professional | $10.56 | $10.56 | $19.73 | |
United
| Professional | $4.44 | $6.29 | $6.48 |