| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.09 | $22.09 | $22.09 | |
Aetna
| Professional | $21.10 | $22.84 | $37.49 | |
Cigna
| Professional | $44.04 | $44.04 | $46.57 | |
Molina
| Professional | $32.34 | $32.34 | $73.87 | |
Providence
| Facility | $22.09 | $26.23 | $45.32 | |
Providence
| Professional | $23.94 | $44.04 | $46.57 | |
United
| Professional | $32.40 | $38.88 | $56.89 |