| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.05 | $1.05 | $1.05 | |
Cigna
| Facility | $3.98 | $3.98 | $3.98 | |
Cigna
| Professional | $3.98 | $3.98 | $3.98 | |
Molina
| Professional | $60.26 | $60.26 | $60.26 | |
Providence
| Facility | $0.48 | $0.48 | $5.13 | |
Providence
| Professional | $3.98 | $3.98 | $3.98 | |
United
| Facility | $1.82 | $1.82 | $1.82 | |
United
| Professional | $4.57 | $4.68 | $4.68 |