| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.50 | $40.94 | $45.52 | |
Molina
| Professional | $32.34 | $67.03 | $85.00 | |
Providence
| Facility | $35.99 | $40.94 | $44.32 | |
United
| Professional | $45.35 | $62.76 | $99.94 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.50 | $40.94 | $45.52 | |
Molina
| Professional | $32.34 | $67.03 | $85.00 | |
Providence
| Facility | $35.99 | $40.94 | $44.32 | |
United
| Professional | $45.35 | $62.76 | $99.94 |