| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.47 | $237.57 | $471.85 | |
Cigna
| Professional | $118.55 | $303.89 | $494.20 | |
Molina
| Professional | $32.34 | $167.86 | $447.16 | |
Providence
| Professional | $109.41 | $303.89 | $518.52 | |
United
| Professional | $355.96 | $444.95 | $639.12 |