| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.51 | $39.51 | $49.42 | |
Aetna
| Professional | $40.00 | $51.50 | $68.42 | |
BCBS
| Professional | $32.99 | $54.98 | $89.24 | |
Cigna
| Professional | $56.32 | $72.29 | $109.96 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
Providence
| Facility | $39.51 | $50.65 | $70.47 | |
Providence
| Professional | $48.55 | $70.25 | $109.96 | |
United
| Professional | $78.69 | $95.16 | $128.78 |