| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.05 | $12.05 | $12.05 | |
Aetna
| Professional | $7.96 | $9.35 | $12.05 | |
Cigna
| Professional | $6.76 | $6.76 | $19.80 | |
Molina
| Professional | $19.89 | $27.03 | $27.03 | |
Providence
| Facility | $11.55 | $17.89 | $34.38 | |
Providence
| Professional | $6.76 | $6.76 | $23.38 | |
United
| Professional | $7.03 | $7.26 | $11.97 |