| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $335.97 | $478.00 | $720.92 | |
Cigna
| Professional | $392.07 | $596.42 | $810.58 | |
Molina
| Professional | $32.34 | $349.54 | $629.54 | |
Providence
| Professional | $409.12 | $596.42 | $887.47 | |
United
| Professional | $554.60 | $756.08 | $1,095.10 |