| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.40 | $86.33 | $93.64 | |
BCBS
| Professional | $64.06 | $85.43 | $85.43 | |
Cigna
| Professional | $44.86 | $44.86 | $44.86 | |
Molina
| Professional | $95.00 | $174.33 | $174.33 | |
Providence
| Facility | $75.61 | $80.36 | $93.64 | |
Providence
| Professional | $44.86 | $44.86 | $82.11 | |
United
| Professional | $43.10 | $46.62 | $70.23 |