| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $48.98 | $48.98 | |
Aetna
| Professional | $33.11 | $39.81 | $50.12 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
Molina
| Professional | $50.12 | $70.79 | $1,000.00 | |
Providence
| Facility | $32.36 | $43.65 | $79.43 | |
United
| Professional | $41.69 | $46.77 | $85.11 |