| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.20 | $50.20 | $50.20 | |
Aetna
| Professional | $31.64 | $45.96 | $50.20 | |
BCBS
| Professional | $51.03 | $68.04 | $68.04 | |
Cigna
| Professional | $43.49 | $43.49 | $47.99 | |
Molina
| Professional | $71.94 | $79.13 | $138.84 | |
Providence
| Facility | $40.86 | $64.01 | $76.81 | |
Providence
| Professional | $43.49 | $43.49 | $120.07 | |
United
| Professional | $33.40 | $36.11 | $54.41 |