| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.68 | $67.09 | $101.70 | |
Cigna
| Professional | $17.42 | $66.63 | $122.35 | |
Molina
| Professional | $32.34 | $32.34 | $108.75 | |
Providence
| Professional | $18.17 | $73.19 | $153.69 | |
United
| Professional | $85.32 | $112.76 | $169.06 |