| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.89 | $39.89 | $39.89 | |
Aetna
| Professional | $16.11 | $36.04 | $39.89 | |
BCBS
| Professional | $32.88 | $32.88 | $52.24 | |
Cigna
| Professional | $28.02 | $28.02 | $28.02 | |
Molina
| Professional | $54.89 | $60.00 | $89.47 | |
Providence
| Facility | $33.39 | $43.21 | $47.38 | |
Providence
| Professional | $28.02 | $28.02 | $65.87 | |
United
| Professional | $21.52 | $23.27 | $35.04 |