| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.28 | $43.28 | $53.59 | |
Aetna
| Professional | $43.28 | $53.59 | $83.72 | |
BCBS
| Professional | $37.97 | $63.49 | $98.37 | |
Cigna
| Professional | $55.03 | $78.52 | $120.82 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
Providence
| Facility | $42.92 | $56.24 | $83.72 | |
Providence
| Professional | $49.17 | $77.31 | $120.82 | |
United
| Professional | $74.58 | $97.02 | $139.35 |