| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.59 | $77.18 | $154.35 | |
Aetna
| Professional | $38.59 | $61.74 | $330.82 | |
BCBS
| Professional | $31.57 | $42.09 | $51.45 | |
Cigna
| Facility | $33.44 | $33.44 | $33.44 | |
Cigna
| Professional | $46.20 | $46.20 | $58.58 | |
Molina
| Professional | $60.00 | $79.75 | $83.86 | |
Providence
| Facility | $33.44 | $64.83 | $84.04 | |
Providence
| Professional | $59.17 | $65.08 | $74.09 | |
United
| Professional | $21.61 | $21.61 | $30.87 |