| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.25 | $5.25 | $5.25 | |
Aetna
| Professional | $3.06 | $4.74 | $5.25 | |
Cigna
| Professional | $2.95 | $2.95 | $7.62 | |
Molina
| Professional | $8.66 | $11.77 | $11.77 | |
Providence
| Facility | $5.03 | $7.22 | $12.94 | |
Providence
| Professional | $2.95 | $2.95 | $10.19 | |
United
| Professional | $3.06 | $3.17 | $5.22 |