| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.65 | $58.47 | $62.20 | |
BCBS
| Professional | $11.82 | $42.56 | $56.74 | |
Cigna
| Professional | $31.15 | $31.15 | $31.15 | |
Molina
| Professional | $81.13 | $81.13 | $115.78 | |
Providence
| Facility | $50.84 | $53.38 | $62.20 | |
Providence
| Professional | $31.15 | $31.15 | $66.04 | |
United
| Professional | $29.93 | $32.38 | $48.77 |