| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $57.54 | $95.50 | |
BCBS
| Professional | $22.91 | $54.95 | $97.72 | |
Cigna
| Professional | $38.90 | $81.28 | $144.54 | |
Molina
| Professional | $32.36 | $70.79 | $117.49 | |
Providence
| Facility | $28.84 | $69.18 | $134.90 | |
Providence
| Professional | $38.90 | $81.28 | $144.54 | |
United
| Professional | $38.02 | $74.13 | $134.90 |