| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.71 | $31.41 | $62.82 | |
Aetna
| Professional | $15.71 | $25.13 | $134.63 | |
BCBS
| Facility | $31.41 | $115.59 | $187.67 | |
Cigna
| Facility | $13.61 | $13.61 | $13.61 | |
Cigna
| Professional | $11.84 | $24.37 | $35.52 | |
Molina
| Professional | $11.52 | $11.52 | $11.52 | |
Providence
| Facility | $16.64 | $19.89 | $32.51 | |
Providence
| Professional | $12.65 | $20.94 | $35.52 | |
United
| Professional | $8.78 | $11.33 | $12.56 |