| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.00 | $15.00 | $15.00 | |
Aetna
| Professional | $12.03 | $15.00 | $18.97 | |
BCBS
| Professional | $11.81 | $15.75 | $15.75 | |
Cigna
| Professional | $10.00 | $14.00 | $32.15 | |
Molina
| Professional | $32.31 | $52.71 | $85.00 | |
Providence
| Facility | $14.22 | $16.45 | $31.36 | |
Providence
| Professional | $10.00 | $14.00 | $17.34 | |
United
| Professional | $36.00 | $52.00 | $78.98 |