| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.22 | $39.52 | $58.28 | |
Aetna
| Professional | $10.71 | $10.84 | $20.92 | |
BCBS
| Facility | $21.57 | $79.38 | $128.88 | |
BCBS
| Professional | $7.35 | $9.80 | $11.26 | |
Cigna
| Facility | $7.79 | $7.79 | $7.79 | |
Cigna
| Professional | $7.48 | $13.63 | $22.69 | |
Molina
| Professional | $6.59 | $6.59 | $6.59 | |
Providence
| Facility | $10.68 | $14.38 | $23.46 | |
Providence
| Professional | $11.98 | $11.98 | $22.69 | |
United
| Professional | $5.03 | $7.14 | $7.36 |