| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.19 | $53.02 | $60.42 | |
BCBS
| Professional | $36.71 | $36.71 | $48.95 | |
Cigna
| Professional | $28.56 | $28.56 | $28.56 | |
Molina
| Professional | $60.00 | $95.00 | $99.89 | |
Providence
| Facility | $43.86 | $46.98 | $57.64 | |
Providence
| Professional | $28.56 | $28.56 | $57.82 | |
United
| Professional | $27.45 | $29.69 | $44.72 |