| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.96 | $49.74 | $52.91 | |
BCBS
| Professional | $8.72 | $36.20 | $48.27 | |
Cigna
| Professional | $26.22 | $26.22 | $26.22 | |
Molina
| Professional | $69.01 | $69.01 | $98.50 | |
Providence
| Facility | $43.25 | $45.41 | $52.91 | |
Providence
| Professional | $26.22 | $26.22 | $55.69 | |
United
| Professional | $25.19 | $27.25 | $41.05 |