| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.16 | $17.16 | $17.16 | |
Aetna
| Professional | $11.02 | $16.75 | $18.70 | |
Cigna
| Professional | $9.63 | $9.63 | $29.02 | |
Molina
| Professional | $28.33 | $38.47 | $38.47 | |
Providence
| Facility | $16.44 | $32.51 | $62.84 | |
Providence
| Professional | $9.63 | $9.63 | $34.06 | |
United
| Professional | $10.01 | $10.34 | $17.04 |