| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $25.00 | $25.00 | |
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Cigna
| Professional | $7.65 | $7.65 | $32.60 | |
Molina
| Professional | $50.00 | $60.00 | $70.00 | |
Providence
| Facility | $25.00 | $25.00 | $25.00 | |
Providence
| Professional | $7.65 | $7.65 | $25.00 |