| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.44 | $64.88 | $72.43 | |
Cigna
| Professional | $36.19 | $36.19 | $36.19 | |
Molina
| Professional | $60.00 | $106.09 | $123.52 | |
Providence
| Facility | $54.23 | $58.08 | $74.59 | |
Providence
| Professional | $36.19 | $36.19 | $68.88 | |
United
| Professional | $34.77 | $37.61 | $56.65 |