| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $11.00 | $11.00 | |
Cigna
| Professional | $0.12 | $0.12 | $8.30 | |
Molina
| Professional | $45.00 | $60.00 | $70.00 | |
Providence
| Facility | $6.28 | $8.50 | $16.04 | |
Providence
| Professional | $0.12 | $0.12 | $15.14 |