| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.79 | $76.13 | $85.50 | |
Cigna
| Professional | $43.93 | $43.93 | $43.93 | |
Molina
| Professional | $60.00 | $128.13 | $149.19 | |
Providence
| Facility | $65.51 | $70.17 | $91.03 | |
Providence
| Professional | $43.93 | $43.93 | $90.76 | |
United
| Professional | $42.22 | $45.66 | $68.79 |