| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.97 | $81.78 | $106.94 | |
BCBS
| Professional | $73.16 | $73.16 | $97.55 | |
Cigna
| Professional | $47.24 | $47.24 | $47.24 | |
Molina
| Professional | $95.00 | $199.06 | $199.06 | |
Providence
| Facility | $79.63 | $91.69 | $103.80 | |
Providence
| Professional | $47.24 | $47.24 | $86.19 | |
United
| Professional | $45.40 | $49.10 | $73.97 |