| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.96 | $36.97 | $41.55 | |
Molina
| Professional | $32.34 | $65.56 | $85.00 | |
Providence
| Facility | $30.91 | $36.97 | $40.69 | |
United
| Professional | $39.14 | $54.05 | $72.45 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.96 | $36.97 | $41.55 | |
Molina
| Professional | $32.34 | $65.56 | $85.00 | |
Providence
| Facility | $30.91 | $36.97 | $40.69 | |
United
| Professional | $39.14 | $54.05 | $72.45 |