| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.00 | $120.00 | $120.00 | |
BCBS
| Professional | $2.46 | $3.30 | $4.40 | |
Cigna
| Professional | $28.91 | $28.91 | $36.14 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Providence
| Facility | $18.12 | $18.12 | $18.12 |