| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $52.48 | $61.66 | |
BCBS
| Professional | $36.31 | $48.98 | $48.98 | |
Cigna
| Professional | $28.84 | $28.84 | $28.84 | |
Molina
| Professional | $60.26 | $85.11 | $95.50 | |
Providence
| Facility | $41.69 | $53.70 | $74.13 | |
Providence
| Professional | $28.84 | $28.84 | $28.84 | |
United
| Professional | $24.55 | $29.51 | $44.67 |