| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.56 | $76.14 | $105.64 | |
Aetna
| Professional | $30.63 | $31.93 | $36.54 | |
BCBS
| Professional | $16.32 | $21.77 | $25.01 | |
Cigna
| Professional | $33.59 | $47.77 | $57.62 | |
Molina
| Professional | $31.93 | $38.31 | $43.37 | |
Providence
| Facility | $25.70 | $37.78 | $49.80 | |
Providence
| Professional | $30.60 | $35.26 | $53.09 | |
United
| Professional | $15.97 | $22.10 | $50.56 |