| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.46 | $25.46 | $25.82 | |
Aetna
| Professional | $13.05 | $16.23 | $25.46 | |
BCBS
| Facility | $44.72 | $44.72 | $44.72 | |
BCBS
| Professional | $15.19 | $20.22 | $30.87 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $15.64 | $30.59 | $93.76 | |
Molina
| Professional | $32.34 | $32.34 | $33.11 | |
Providence
| Facility | $13.26 | $18.28 | $25.82 | |
Providence
| Professional | $19.14 | $31.68 | $58.40 | |
United
| Professional | $21.11 | $23.28 | $23.46 |