| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.77 | $11.77 | $11.77 | |
Aetna
| Professional | $7.55 | $11.49 | $28.19 | |
Cigna
| Professional | $6.60 | $6.60 | $19.88 | |
Molina
| Professional | $19.43 | $26.39 | $26.39 | |
Providence
| Facility | $11.27 | $23.09 | $44.73 | |
Providence
| Professional | $6.60 | $6.60 | $23.35 | |
United
| Professional | $6.86 | $7.09 | $11.68 |