| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.11 | $8.11 | $8.11 | |
Aetna
| Professional | $8.11 | $12.28 | $60.61 | |
Cigna
| Professional | $9.52 | $9.52 | $9.52 | |
Molina
| Professional | $15.75 | $32.34 | $60.00 | |
Providence
| Facility | $7.37 | $8.82 | $17.35 | |
Providence
| Professional | $9.52 | $9.52 | $21.08 | |
United
| Professional | $6.74 | $8.68 | $20.80 |