| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.83 | $72.59 | $77.23 | |
BCBS
| Professional | $52.84 | $70.45 | $70.45 | |
Cigna
| Professional | $37.00 | $37.00 | $37.00 | |
Molina
| Professional | $95.00 | $143.77 | $143.77 | |
Providence
| Facility | $62.36 | $66.29 | $77.23 | |
Providence
| Professional | $37.00 | $37.00 | $78.84 | |
United
| Professional | $35.56 | $38.45 | $57.93 |