| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.31 | $72.44 | $83.18 | |
Cigna
| Professional | $42.66 | $42.66 | $42.66 | |
Molina
| Professional | $60.26 | $95.50 | $123.03 | |
Providence
| Facility | $63.10 | $77.62 | $120.23 | |
Providence
| Professional | $43.65 | $43.65 | $43.65 | |
United
| Professional | $34.67 | $44.67 | $66.07 |