| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.35 | $40.35 | $47.22 | |
Aetna
| Professional | $40.35 | $47.58 | $60.80 | |
BCBS
| Professional | $31.99 | $55.89 | $86.58 | |
Cigna
| Professional | $54.17 | $73.52 | $106.61 | |
Molina
| Professional | $32.34 | $32.34 | $90.91 | |
Providence
| Facility | $40.35 | $47.59 | $62.15 | |
Providence
| Professional | $47.23 | $70.95 | $106.61 | |
United
| Professional | $76.11 | $92.04 | $124.57 |