| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.55 | $67.55 | $79.98 | |
Aetna
| Professional | $67.55 | $79.50 | $96.73 | |
BCBS
| Professional | $59.30 | $94.55 | $167.63 | |
Cigna
| Professional | $85.49 | $121.59 | $180.11 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
Providence
| Facility | $68.41 | $88.31 | $125.41 | |
Providence
| Professional | $76.48 | $121.21 | $180.11 | |
United
| Professional | $118.68 | $145.05 | $208.32 |