| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.52 | $14.09 | $64.78 | |
Cigna
| Facility | $14.57 | $14.57 | $14.57 | |
Cigna
| Professional | $14.57 | $14.57 | $17.44 | |
Molina
| Professional | $1.77 | $3.33 | $32.72 | |
Providence
| Facility | $7.94 | $11.91 | $17.67 | |
Providence
| Professional | $14.57 | $14.57 | $17.44 | |
United
| Professional | $10.22 | $11.38 | $18.54 |