| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.23 | $20.65 | $26.40 | |
Cigna
| Facility | $20.25 | $20.25 | $20.25 | |
Cigna
| Professional | $15.18 | $15.18 | $15.18 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
Providence
| Facility | $7.72 | $16.44 | $24.60 | |
Providence
| Professional | $15.18 | $30.72 | $43.82 | |
United
| Professional | $16.91 | $23.39 | $34.07 |