| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.19 | $80.22 | $106.42 | |
Cigna
| Professional | $44.32 | $44.32 | $44.32 | |
Molina
| Professional | $95.00 | $198.11 | $198.11 | |
Providence
| Facility | $74.70 | $91.25 | $103.31 | |
Providence
| Professional | $44.32 | $44.32 | $83.37 | |
United
| Professional | $42.59 | $46.07 | $69.39 |