| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $20.89 | $38.02 | |
Aetna
| Professional | $15.85 | $25.70 | $79.43 | |
Cigna
| Professional | $19.50 | $28.18 | $43.65 | |
Molina
| Professional | $6.76 | $32.36 | $33.11 | |
Providence
| Facility | $19.05 | $26.92 | $57.54 | |
Providence
| Professional | $19.50 | $28.18 | $43.65 | |
United
| Professional | $18.62 | $26.92 | $40.74 |