| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.74 | $65.48 | $130.94 | |
Aetna
| Professional | $32.74 | $52.38 | $280.67 | |
BCBS
| Facility | $78.56 | $289.14 | $469.46 | |
Cigna
| Facility | $28.37 | $28.37 | $28.37 | |
Cigna
| Professional | $39.07 | $39.07 | $54.89 | |
Molina
| Professional | $67.66 | $71.15 | $71.15 | |
Providence
| Facility | $28.37 | $67.90 | $70.20 | |
Providence
| Professional | $50.20 | $55.22 | $62.83 | |
United
| Professional | $18.32 | $25.01 | $26.19 |