| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.44 | $70.88 | $141.75 | |
Aetna
| Professional | $35.44 | $56.70 | $303.82 | |
BCBS
| Professional | $28.99 | $38.65 | $47.25 | |
Cigna
| Facility | $30.71 | $30.71 | $30.71 | |
Cigna
| Professional | $42.48 | $42.48 | $53.66 | |
Molina
| Professional | $60.00 | $73.23 | $77.02 | |
Providence
| Facility | $30.71 | $59.54 | $84.04 | |
Providence
| Professional | $54.34 | $59.77 | $68.04 | |
United
| Facility | $47.25 | $47.25 | $47.25 | |
United
| Professional | $19.85 | $19.85 | $28.35 |