| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.06 | $61.00 | $64.89 | |
Cigna
| Professional | $33.68 | $33.68 | $33.68 | |
Molina
| Professional | $84.65 | $84.65 | $120.80 | |
Providence
| Facility | $53.05 | $56.77 | $66.39 | |
Providence
| Professional | $33.68 | $33.68 | $68.34 | |
United
| Professional | $32.36 | $35.01 | $52.73 |