| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $20.89 | $151.36 | |
BCBS
| Professional | $14.13 | $19.05 | $21.88 | |
Cigna
| Professional | $20.89 | $30.90 | $43.65 | |
Molina
| Professional | $35.48 | $35.48 | $48.98 | |
Providence
| Facility | $22.91 | $35.48 | $67.61 | |
Providence
| Professional | $25.12 | $30.90 | $40.74 | |
United
| Professional | $13.80 | $16.98 | $42.66 |