| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.48 | $58.96 | $117.93 | |
Aetna
| Professional | $29.48 | $47.17 | $252.76 | |
BCBS
| Professional | $24.12 | $32.15 | $39.31 | |
Cigna
| Facility | $25.55 | $25.55 | $25.55 | |
Cigna
| Professional | $35.35 | $35.35 | $44.65 | |
Molina
| Professional | $60.00 | $64.08 | $70.00 | |
Providence
| Facility | $25.55 | $49.53 | $149.82 | |
Providence
| Professional | $45.21 | $49.73 | $56.61 | |
United
| Professional | $16.51 | $16.51 | $23.59 |