| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.46 | $31.46 | $168.60 | |
Cigna
| Professional | $30.87 | $56.76 | $81.94 | |
Molina
| Professional | $40.64 | $40.64 | $42.74 | |
Providence
| Facility | $31.79 | $35.38 | $48.17 | |
Providence
| Professional | $30.15 | $34.74 | $74.04 | |
United
| Professional | $15.73 | $18.98 | $47.58 |