| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.38 | $17.38 | $17.38 | |
Aetna
| Professional | $10.00 | $10.96 | $19.95 | |
Ambetter
| Professional | $13.49 | $15.85 | $16.98 | |
BCBS
| Professional | $8.13 | $10.47 | $15.14 | |
Cigna
| Professional | $10.47 | $15.85 | $21.38 | |
Molina
| Professional | $16.22 | $32.36 | $33.11 | |
Providence
| Facility | $10.23 | $11.75 | $15.14 | |
Providence
| Professional | $10.47 | $14.13 | $21.38 | |
United
| Professional | $13.18 | $17.78 | $23.44 |