| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.06 | $68.95 | $74.47 | |
BCBS
| Professional | $50.95 | $50.95 | $67.93 | |
Cigna
| Professional | $37.88 | $37.88 | $37.88 | |
Molina
| Professional | $60.00 | $119.06 | $138.62 | |
Providence
| Facility | $60.87 | $63.91 | $74.47 | |
Providence
| Professional | $37.88 | $37.88 | $73.95 | |
United
| Professional | $36.40 | $39.36 | $59.31 |