| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.23 | $142.49 | $284.97 | |
Aetna
| Professional | $71.23 | $113.99 | $610.79 | |
BCBS
| Professional | $77.70 | $77.70 | $94.99 | |
Cigna
| Facility | $61.74 | $61.74 | $61.74 | |
Cigna
| Professional | $84.96 | $84.96 | $107.73 | |
Molina
| Professional | $60.00 | $147.22 | $154.83 | |
Providence
| Facility | $61.74 | $119.69 | $194.58 | |
Providence
| Professional | $109.24 | $120.16 | $136.79 | |
United
| Professional | $39.90 | $39.90 | $56.99 |