| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.45 | $16.68 | $73.73 | |
BCBS
| Professional | $1.57 | $2.09 | $2.54 | |
Cigna
| Facility | $17.30 | $17.30 | $17.30 | |
Cigna
| Professional | $17.30 | $17.30 | $20.83 | |
Molina
| Professional | $2.63 | $21.72 | $40.72 | |
Providence
| Facility | $8.06 | $14.20 | $20.91 | |
Providence
| Professional | $17.30 | $17.30 | $20.83 | |
United
| Professional | $11.27 | $12.75 | $18.79 |