| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $210.88 | $281.27 | $629.41 | |
Cigna
| Professional | $247.64 | $375.92 | $567.16 | |
Molina
| Professional | $32.34 | $32.34 | $439.14 | |
Providence
| Professional | $259.27 | $388.91 | $615.05 | |
United
| Professional | $350.96 | $470.80 | $743.57 |