| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.10 | $19.10 | $97.22 | |
Cigna
| Professional | $7.02 | $17.20 | $23.05 | |
Molina
| Professional | $17.76 | $21.31 | $29.65 | |
Providence
| Facility | $14.76 | $16.96 | $22.36 | |
Providence
| Professional | $15.33 | $19.26 | $24.69 | |
United
| Professional | $8.92 | $9.07 | $24.19 |