| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $73.79 | $110.06 | $561.29 | |
BCBS
| Professional | $73.45 | $74.65 | $97.94 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
Providence
| Facility | $39.86 | $39.86 | $39.86 | |
Providence
| Professional | $95.99 | $95.99 | $95.99 | |
United
| Professional | $92.82 | $144.77 | $181.60 |