| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.74 | $45.14 | $57.84 | |
BCBS
| Professional | $6.90 | $39.58 | $52.77 | |
Cigna
| Professional | $23.78 | $23.78 | $23.78 | |
Molina
| Professional | $75.44 | $75.44 | $107.68 | |
Providence
| Facility | $40.08 | $49.64 | $56.15 | |
Providence
| Professional | $23.78 | $23.78 | $48.41 | |
United
| Professional | $22.85 | $24.71 | $37.22 |