| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $25.70 | $204.17 | |
Cigna
| Professional | $11.48 | $25.70 | $34.67 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
Providence
| Facility | $19.50 | $31.62 | $89.13 | |
Providence
| Professional | $24.55 | $34.67 | $77.62 | |
United
| Professional | $13.18 | $16.22 | $43.65 |