| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.13 | $47.56 | $57.03 | |
BCBS
| Professional | $39.02 | $52.02 | $52.02 | |
Cigna
| Professional | $24.93 | $24.93 | $24.93 | |
Molina
| Professional | $60.00 | $95.00 | $106.16 | |
Providence
| Facility | $42.02 | $48.96 | $57.03 | |
Providence
| Professional | $24.93 | $24.93 | $48.27 | |
United
| Professional | $23.96 | $25.91 | $39.04 |