| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.82 | $37.65 | $75.30 | |
Aetna
| Professional | $18.82 | $18.82 | $21.34 | |
Cigna
| Facility | $16.32 | $16.32 | $16.32 | |
Molina
| Professional | $40.90 | $40.90 | $40.90 | |
Providence
| Facility | $15.06 | $31.38 | $36.40 | |
Providence
| Professional | $27.61 | $27.61 | $29.38 | |
United
| Professional | $10.54 | $11.70 | $11.70 |