| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.27 | $71.98 | $95.25 | |
BCBS
| Professional | $65.18 | $65.18 | $86.90 | |
Cigna
| Professional | $39.15 | $39.15 | $39.15 | |
Molina
| Professional | $60.00 | $152.28 | $177.30 | |
Providence
| Facility | $66.00 | $81.66 | $92.45 | |
Providence
| Professional | $39.15 | $39.15 | $76.42 | |
United
| Professional | $37.63 | $40.70 | $61.31 |