| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.84 | $48.98 | $316.23 | |
BCBS
| Professional | $33.88 | $43.65 | $85.11 | |
Cigna
| Professional | $30.20 | $56.23 | $77.62 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
Providence
| Facility | $41.69 | $61.66 | $169.82 | |
Providence
| Professional | $51.29 | $75.86 | $114.82 | |
United
| Professional | $28.18 | $33.11 | $89.13 |