| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.50 | $56.71 | $60.33 | |
BCBS
| Professional | $41.28 | $55.04 | $55.04 | |
Cigna
| Professional | $29.38 | $29.38 | $29.38 | |
Molina
| Professional | $60.00 | $96.46 | $112.31 | |
Providence
| Facility | $49.32 | $51.79 | $60.33 | |
Providence
| Professional | $29.38 | $29.38 | $53.60 | |
United
| Professional | $28.24 | $30.54 | $46.00 |