| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.14 | $18.14 | $18.14 | |
Aetna
| Professional | $9.35 | $16.39 | $18.14 | |
Cigna
| Professional | $10.19 | $10.19 | $23.23 | |
Molina
| Professional | $29.98 | $40.72 | $40.72 | |
Providence
| Facility | $17.39 | $24.98 | $40.65 | |
Providence
| Professional | $10.19 | $10.19 | $35.21 | |
United
| Professional | $10.59 | $10.81 | $18.02 |