| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.39 | $12.39 | $12.39 | |
Aetna
| Professional | $7.35 | $12.39 | $23.48 | |
Cigna
| Professional | $21.43 | $21.43 | $34.77 | |
Molina
| Professional | $21.20 | $32.34 | $32.34 | |
Providence
| Facility | $7.78 | $12.53 | $23.21 | |
Providence
| Professional | $10.02 | $21.43 | $37.33 | |
United
| Professional | $12.01 | $18.13 | $31.43 |