| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.99 | $5.99 | $5.99 | |
Aetna
| Professional | $2.42 | $4.94 | $5.99 | |
BCBS
| Facility | $17.84 | $41.27 | $71.70 | |
BCBS
| Professional | $4.94 | $6.58 | $7.85 | |
Cigna
| Professional | $4.22 | $4.22 | $4.22 | |
Molina
| Professional | $8.24 | $9.47 | $13.43 | |
Providence
| Facility | $5.01 | $6.50 | $7.13 | |
Providence
| Professional | $4.22 | $4.22 | $11.64 | |
United
| Professional | $3.24 | $3.50 | $5.28 |