| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.88 | $5.88 | $5.88 | |
Aetna
| Professional | $3.77 | $5.73 | $16.54 | |
Cigna
| Professional | $3.30 | $3.30 | $9.94 | |
Molina
| Professional | $9.71 | $13.19 | $60.00 | |
Providence
| Facility | $5.64 | $11.78 | $22.18 | |
Providence
| Professional | $3.30 | $3.30 | $11.67 | |
United
| Professional | $3.43 | $3.55 | $5.86 |