| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.57 | $46.13 | $55.96 | |
BCBS
| Professional | $38.29 | $51.05 | $51.05 | |
Cigna
| Professional | $25.82 | $25.82 | $25.82 | |
Molina
| Professional | $60.00 | $95.00 | $104.17 | |
Providence
| Facility | $43.52 | $48.03 | $55.96 | |
Providence
| Professional | $25.82 | $25.82 | $47.10 | |
United
| Professional | $24.81 | $26.83 | $40.42 |