| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.43 | $32.85 | $65.70 | |
Aetna
| Professional | $16.43 | $26.28 | $140.82 | |
Cigna
| Facility | $14.24 | $14.24 | $14.24 | |
Cigna
| Professional | $11.06 | $25.19 | $33.04 | |
Molina
| Professional | $12.05 | $12.05 | $12.05 | |
Providence
| Facility | $15.71 | $24.65 | $34.51 | |
Providence
| Professional | $18.73 | $21.90 | $33.04 | |
United
| Professional | $9.19 | $10.50 | $13.14 |