| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $86.00 | $86.00 | $86.00 | |
BCBS
| Professional | $1.14 | $1.54 | $2.04 | |
Cigna
| Professional | $28.08 | $28.08 | $35.11 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Providence
| Facility | $19.29 | $19.29 | $19.29 |