| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $23.99 | $34.67 | |
BCBS
| Professional | $33.88 | $33.88 | $33.88 | |
Molina
| Professional | $30.20 | $43.65 | $60.26 | |
Providence
| Facility | $20.89 | $30.20 | $51.29 | |
Providence
| Professional | $41.69 | $41.69 | $60.26 |