| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.89 | $60.14 | $285.86 | |
BCBS
| Professional | $5.07 | $6.76 | $9.23 | |
Cigna
| Facility | $60.80 | $60.80 | $60.80 | |
Cigna
| Professional | $60.80 | $60.80 | $73.04 | |
Molina
| Professional | $6.80 | $12.76 | $117.39 | |
Providence
| Facility | $42.90 | $55.90 | $75.38 | |
Providence
| Professional | $60.80 | $60.80 | $73.04 | |
United
| Professional | $47.77 | $57.59 | $100.11 |