| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.96 | $38.90 | $281.84 | |
Cigna
| Professional | $15.49 | $19.05 | $38.02 | |
Molina
| Professional | $42.66 | $50.12 | $91.20 | |
Providence
| Facility | $14.79 | $27.54 | $107.15 | |
Providence
| Professional | $15.49 | $38.02 | $58.88 | |
United
| Professional | $8.71 | $25.12 | $63.10 |