| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.51 | $31.51 | $39.90 | |
Aetna
| Professional | $31.51 | $48.27 | $224.00 | |
BCBS
| Facility | $161.77 | $593.20 | $966.61 | |
BCBS
| Professional | $29.58 | $47.68 | $102.78 | |
Cigna
| Professional | $45.00 | $65.98 | $110.19 | |
Molina
| Professional | $32.34 | $32.34 | $72.73 | |
Providence
| Facility | $38.21 | $48.57 | $107.62 | |
Providence
| Professional | $46.71 | $70.59 | $121.54 | |
United
| Facility | $230.00 | $1,158.00 | $1,401.00 | |
United
| Professional | $61.50 | $80.36 | $106.61 |