| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.43 | $6.43 | $6.43 | |
Aetna
| Professional | $2.60 | $5.81 | $6.43 | |
BCBS
| Facility | $19.16 | $44.32 | $77.01 | |
BCBS
| Professional | $5.30 | $7.07 | $8.42 | |
Cigna
| Professional | $4.51 | $4.51 | $4.51 | |
Molina
| Professional | $8.85 | $9.73 | $14.43 | |
Providence
| Facility | $5.39 | $6.97 | $7.65 | |
Providence
| Professional | $4.51 | $4.51 | $12.21 | |
United
| Professional | $3.47 | $3.76 | $5.66 |