| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.39 | $55.24 | $115.36 | |
BCBS
| Professional | $24.10 | $78.00 | $130.00 | |
Cigna
| Professional | $31.78 | $60.84 | $123.45 | |
Molina
| Professional | $50.00 | $109.03 | $126.94 | |
Providence
| Facility | $36.46 | $63.45 | $105.52 | |
Providence
| Professional | $31.78 | $60.84 | $123.45 | |
United
| Professional | $68.76 | $99.32 | $145.69 |