| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $207.39 | $385.52 | $599.08 | |
Cigna
| Professional | $231.57 | $367.52 | $645.19 | |
Molina
| Professional | $32.34 | $107.13 | $567.73 | |
Providence
| Professional | $265.43 | $446.55 | $768.28 | |
United
| Professional | $448.06 | $634.51 | $796.90 |