| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.68 | $43.41 | $216.48 | |
BCBS
| Professional | $29.29 | $37.36 | $38.42 | |
Molina
| Professional | $32.34 | $58.62 | $58.62 | |
Providence
| Facility | $14.56 | $14.56 | $14.56 | |
Providence
| Professional | $36.79 | $36.79 | $36.79 | |
United
| Professional | $39.78 | $57.50 | $96.38 |