| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.32 | $70.91 | $77.12 | |
BCBS
| Professional | $52.77 | $70.36 | $70.36 | |
Cigna
| Professional | $37.57 | $37.57 | $37.57 | |
Molina
| Professional | $95.00 | $143.55 | $143.55 | |
Providence
| Facility | $63.05 | $67.53 | $77.12 | |
Providence
| Professional | $37.57 | $37.57 | $74.87 | |
United
| Professional | $36.11 | $39.04 | $58.83 |