| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.59 | $79.81 | $84.44 | |
BCBS
| Professional | $57.78 | $77.04 | $77.04 | |
Cigna
| Professional | $43.73 | $43.73 | $43.73 | |
Molina
| Professional | $95.00 | $157.19 | $157.19 | |
Providence
| Facility | $69.01 | $73.70 | $87.38 | |
Providence
| Professional | $43.73 | $43.73 | $85.68 | |
United
| Professional | $42.02 | $45.45 | $68.45 |