| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.86 | $31.68 | $65.44 | |
Ambetter
| Professional | $30.42 | $30.42 | $31.89 | |
BCBS
| Professional | $17.66 | $29.43 | $49.35 | |
Cigna
| Facility | $41.14 | $41.14 | $41.14 | |
Cigna
| Professional | $28.57 | $28.57 | $28.57 | |
Molina
| Professional | $18.86 | $32.34 | $36.42 | |
Providence
| Facility | $25.52 | $30.35 | $39.47 | |
Providence
| Professional | $28.57 | $61.28 | $86.26 | |
United
| Professional | $35.01 | $50.43 | $68.88 |