| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.11 | $13.11 | $13.11 | |
Aetna
| Professional | $7.20 | $9.35 | $13.11 | |
Cigna
| Professional | $7.36 | $7.36 | $17.89 | |
Molina
| Professional | $21.64 | $29.39 | $29.39 | |
Providence
| Facility | $12.56 | $18.03 | $31.05 | |
Providence
| Professional | $7.36 | $7.36 | $25.43 | |
United
| Professional | $7.64 | $7.90 | $13.03 |