| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.08 | $10.08 | $10.08 | |
Aetna
| Professional | $4.07 | $9.11 | $10.08 | |
Cigna
| Professional | $7.09 | $7.09 | $7.09 | |
Molina
| Professional | $13.88 | $15.26 | $22.62 | |
Providence
| Facility | $8.43 | $10.91 | $11.97 | |
Providence
| Professional | $7.09 | $7.09 | $16.66 | |
United
| Professional | $5.44 | $5.89 | $8.86 |