| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2.04 | $2.04 | $2.04 | |
Cigna
| Professional | $1.70 | $1.74 | $2.04 | |
Molina
| Professional | $44.67 | $60.26 | $85.11 | |
Providence
| Facility | $0.68 | $0.68 | $1.26 | |
Providence
| Professional | $1.70 | $1.74 | $2.04 |