| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.33 | $34.33 | $37.50 | |
Aetna
| Professional | $28.91 | $29.63 | $34.33 | |
Cigna
| Facility | $30.72 | $30.72 | $85.00 | |
Cigna
| Professional | $30.72 | $30.72 | $30.72 | |
Molina
| Professional | $7.45 | $60.00 | $85.00 | |
Providence
| Facility | $7.62 | $26.29 | $36.14 | |
Providence
| Professional | $30.72 | $30.72 | $37.50 | |
United
| Professional | $30.00 | $30.00 | $31.80 |