| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.84 | $28.84 | $154.51 | |
Cigna
| Professional | $7.02 | $19.11 | $26.28 | |
Molina
| Professional | $24.03 | $28.83 | $39.17 | |
Providence
| Facility | $14.76 | $16.96 | $30.28 | |
Providence
| Professional | $15.57 | $27.63 | $33.40 | |
United
| Professional | $8.92 | $14.42 | $36.04 |