| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $70.79 | $70.79 | |
Aetna
| Professional | $48.98 | $60.26 | $77.62 | |
BCBS
| Professional | $31.62 | $42.66 | $56.23 | |
Cigna
| Professional | $37.15 | $52.48 | $100.00 | |
Molina
| Professional | $32.36 | $33.11 | $60.26 | |
Providence
| Facility | $51.29 | $63.10 | $100.00 | |
Providence
| Professional | $37.15 | $54.95 | $100.00 | |
United
| Professional | $64.57 | $93.33 | $128.82 |