| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.93 | $66.84 | $70.02 | |
Cigna
| Professional | $37.20 | $37.20 | $37.20 | |
Molina
| Professional | $60.00 | $108.50 | $126.33 | |
Providence
| Facility | $55.47 | $59.41 | $73.17 | |
Providence
| Professional | $37.20 | $37.20 | $72.75 | |
United
| Professional | $35.75 | $38.65 | $58.24 |