| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.87 | $99.48 | $124.05 | |
BCBS
| Professional | $73.17 | $94.19 | $151.15 | |
Cigna
| Facility | $118.31 | $118.31 | $118.31 | |
Cigna
| Professional | $92.85 | $92.85 | $92.85 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
Providence
| Facility | $94.48 | $124.05 | $175.61 | |
Providence
| Professional | $92.85 | $138.68 | $278.52 | |
United
| Professional | $109.71 | $152.00 | $215.84 |