| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.67 | $60.67 | $325.10 | |
Cigna
| Professional | $14.73 | $20.42 | $45.27 | |
Molina
| Professional | $78.37 | $78.37 | $82.41 | |
Providence
| Facility | $14.76 | $16.96 | $63.71 | |
Providence
| Professional | $16.63 | $58.14 | $70.28 | |
United
| Professional | $9.61 | $30.34 | $75.84 |