| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $389.05 | $389.05 | |
Aetna
| Professional | $6.03 | $10.96 | $14.13 | |
BCBS
| Facility | $9.55 | $9.55 | $83.18 | |
BCBS
| Professional | $7.08 | $9.55 | $9.77 | |
Cigna
| Professional | $11.48 | $11.48 | $26.30 | |
Molina
| Professional | $10.23 | $10.47 | $60.26 | |
Providence
| Facility | $8.13 | $16.98 | $30.90 | |
Providence
| Professional | $11.48 | $11.48 | $11.48 | |
United
| Professional | $8.71 | $9.33 | $16.22 |