| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.26 | $8.26 | $8.26 | |
Aetna
| Professional | $8.26 | $8.26 | $13.37 | |
Cigna
| Professional | $54.16 | $54.16 | $54.16 | |
Molina
| Professional | $50.00 | $85.00 | $1,500.00 | |
Providence
| Facility | $6.59 | $8.02 | $13.37 | |
Providence
| Professional | $37.50 | $37.50 | $37.50 | |
United
| Facility | $19.14 | $19.14 | $19.14 | |
United
| Professional | $7.24 | $8.06 | $19.77 |