| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.83 | $48.79 | $61.89 | |
BCBS
| Professional | $35.27 | $47.03 | $47.03 | |
Cigna
| Professional | $28.19 | $28.19 | $28.19 | |
Molina
| Professional | $60.00 | $95.00 | $95.96 | |
Providence
| Facility | $42.12 | $45.11 | $53.21 | |
Providence
| Professional | $28.19 | $28.19 | $51.42 | |
United
| Professional | $27.08 | $29.30 | $44.13 |