| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $36.31 | $40.74 | |
Aetna
| Professional | $12.88 | $15.85 | $23.99 | |
BCBS
| Facility | $46.77 | $46.77 | $46.77 | |
BCBS
| Professional | $15.85 | $16.22 | $21.38 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $18.62 | $26.30 | $38.02 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
Providence
| Facility | $14.45 | $19.05 | $26.92 | |
Providence
| Professional | $16.22 | $27.54 | $40.74 | |
United
| Professional | $20.42 | $23.99 | $32.36 |