| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.30 | $14.30 | $14.30 | |
Aetna
| Professional | $7.51 | $11.81 | $14.30 | |
Cigna
| Professional | $8.02 | $8.02 | $18.66 | |
Molina
| Professional | $23.62 | $32.08 | $32.08 | |
Providence
| Facility | $13.70 | $19.68 | $32.15 | |
Providence
| Professional | $8.02 | $8.02 | $27.74 | |
United
| Professional | $8.35 | $8.61 | $14.20 |