| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.25 | $22.50 | $45.00 | |
Aetna
| Professional | $11.25 | $18.00 | $96.45 | |
BCBS
| Professional | $12.27 | $12.27 | $14.10 | |
Cigna
| Facility | $9.75 | $9.75 | $9.75 | |
Cigna
| Professional | $7.48 | $16.93 | $22.69 | |
Molina
| Professional | $8.25 | $8.25 | $8.25 | |
Providence
| Facility | $10.68 | $16.76 | $23.46 | |
Providence
| Professional | $12.74 | $15.00 | $22.69 | |
United
| Professional | $6.30 | $7.22 | $9.00 |