| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.34 | $72.50 | $140.69 | |
Cigna
| Professional | $53.74 | $82.00 | $129.82 | |
Molina
| Professional | $21.79 | $32.34 | $108.96 | |
Providence
| Professional | $55.44 | $85.73 | $150.05 | |
United
| Professional | $74.40 | $112.49 | $156.22 |