| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.66 | $50.12 | $81.28 | |
BCBS
| Professional | $46.77 | $47.86 | $58.88 | |
Molina
| Professional | $32.36 | $70.79 | $107.15 | |
Providence
| Facility | $38.90 | $38.90 | $64.57 | |
Providence
| Professional | $46.77 | $61.66 | $100.00 | |
United
| Professional | $46.77 | $77.62 | $125.89 |