| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.59 | $43.32 | $76.66 | |
Aetna
| Professional | $18.07 | $21.08 | $155.03 | |
BCBS
| Facility | $43.39 | $154.36 | $259.29 | |
BCBS
| Professional | $14.79 | $19.72 | $22.66 | |
Cigna
| Facility | $15.67 | $15.67 | $15.67 | |
Cigna
| Professional | $11.38 | $28.08 | $35.11 | |
Molina
| Professional | $13.26 | $13.26 | $13.26 | |
Providence
| Facility | $16.07 | $25.23 | $35.32 | |
Providence
| Professional | $19.18 | $24.11 | $34.04 | |
United
| Professional | $10.13 | $10.74 | $14.47 |