| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.63 | $26.63 | $26.63 | |
Aetna
| Professional | $13.92 | $17.79 | $22.42 | |
BCBS
| Facility | $46.79 | $46.79 | $46.79 | |
BCBS
| Professional | $12.95 | $16.23 | $21.58 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $18.28 | $31.54 | $43.47 | |
Molina
| Professional | $32.34 | $32.34 | $34.64 | |
Providence
| Facility | $14.29 | $18.80 | $26.63 | |
Providence
| Professional | $20.32 | $32.79 | $45.72 | |
United
| Professional | $21.67 | $24.53 | $24.54 |