| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.01 | $26.27 | $43.89 | |
BCBS
| Professional | $15.33 | $20.45 | $44.02 | |
Cigna
| Professional | $21.32 | $29.38 | $41.00 | |
Molina
| Professional | $32.34 | $32.34 | $41.14 | |
Providence
| Facility | $26.54 | $26.54 | $30.97 | |
Providence
| Professional | $25.03 | $33.59 | $69.44 | |
United
| Professional | $15.73 | $16.67 | $43.89 |