| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.07 | $60.07 | $66.68 | |
Aetna
| Professional | $60.07 | $69.27 | $82.27 | |
BCBS
| Professional | $44.07 | $79.55 | $125.48 | |
Cigna
| Professional | $75.79 | $101.28 | $147.61 | |
Molina
| Professional | $32.34 | $32.34 | $130.27 | |
Providence
| Facility | $60.07 | $69.27 | $91.62 | |
Providence
| Professional | $67.98 | $93.49 | $147.61 | |
United
| Professional | $95.17 | $118.84 | $167.75 |