| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.62 | $73.23 | $77.37 | |
BCBS
| Professional | $8.53 | $25.02 | $53.43 | |
Cigna
| Professional | $35.22 | $66.18 | $96.94 | |
Molina
| Professional | $14.18 | $43.70 | $55.93 | |
Providence
| Facility | $32.17 | $73.44 | $95.98 | |
Providence
| Professional | $45.19 | $70.61 | $108.35 | |
United
| Professional | $55.44 | $75.18 | $100.80 |