| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.55 | $79.98 | $102.99 | |
Cigna
| Facility | $113.46 | $113.46 | $113.46 | |
Cigna
| Professional | $86.96 | $132.29 | $180.11 | |
Molina
| Professional | $32.34 | $60.00 | $85.00 | |
Providence
| Facility | $74.73 | $104.70 | $176.54 | |
Providence
| Professional | $97.43 | $148.16 | $239.20 | |
United
| Professional | $106.83 | $153.51 | $210.17 |