| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.15 | $44.58 | $44.58 | |
Aetna
| Professional | $11.15 | $11.15 | $11.15 | |
Cigna
| Facility | $9.66 | $9.66 | $9.66 | |
Molina
| Professional | $23.03 | $24.22 | $24.22 | |
Providence
| Facility | $9.66 | $14.86 | $18.72 | |
Providence
| Professional | $15.68 | $17.98 | $20.66 | |
United
| Professional | $6.24 | $6.24 | $8.92 |