| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.15 | $24.15 | $24.15 | |
Aetna
| Professional | $9.76 | $21.83 | $24.15 | |
Cigna
| Professional | $13.56 | $18.01 | $18.01 | |
Molina
| Professional | $33.22 | $36.55 | $54.16 | |
Providence
| Facility | $20.21 | $26.16 | $28.69 | |
Providence
| Professional | $13.56 | $18.01 | $38.94 | |
United
| Professional | $13.03 | $14.09 | $21.22 |