| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.92 | $50.90 | $65.87 | |
BCBS
| Professional | $32.65 | $44.33 | $49.91 | |
Molina
| Professional | $32.34 | $64.92 | $97.38 | |
Providence
| Facility | $36.90 | $36.90 | $65.87 | |
Providence
| Professional | $47.19 | $47.19 | $47.19 | |
United
| Professional | $47.24 | $75.45 | $126.41 |