| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.42 | $24.31 | $27.82 | |
BCBS
| Professional | $12.43 | $16.57 | $19.04 | |
Cigna
| Professional | $10.65 | $10.65 | $10.65 | |
Molina
| Professional | $24.31 | $29.17 | $33.02 | |
Providence
| Facility | $20.38 | $28.09 | $35.53 | |
Providence
| Professional | $10.65 | $24.31 | $29.17 | |
United
| Professional | $8.51 | $11.70 | $12.19 |