| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $95.50 | $102.33 | |
Cigna
| Professional | $48.98 | $48.98 | $48.98 | |
Molina
| Professional | $60.26 | $95.50 | $162.18 | |
Providence
| Facility | $74.13 | $100.00 | $138.04 | |
Providence
| Professional | $50.12 | $50.12 | $50.12 | |
United
| Professional | $39.81 | $51.29 | $75.86 |