| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.64 | $119.38 | $493.87 | |
Cigna
| Professional | $98.91 | $146.77 | $199.35 | |
Molina
| Professional | $32.34 | $32.34 | $186.93 | |
Providence
| Professional | $102.10 | $159.41 | $236.55 | |
United
| Professional | $131.12 | $179.30 | $228.81 |