| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.93 | $33.61 | $49.52 | |
Cigna
| Facility | $36.09 | $36.09 | $36.09 | |
Cigna
| Professional | $28.57 | $28.57 | $28.57 | |
Molina
| Professional | $22.05 | $32.34 | $36.75 | |
Providence
| Facility | $22.03 | $29.62 | $43.96 | |
Providence
| Professional | $28.57 | $56.76 | $82.65 | |
United
| Professional | $31.62 | $44.02 | $65.31 |