| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $380.19 | $524.81 | $1,071.52 | |
Cigna
| Professional | $407.38 | $588.84 | $794.33 | |
Molina
| Professional | $32.36 | $33.11 | $588.84 | |
Providence
| Professional | $407.38 | $588.84 | $794.33 | |
United
| Professional | $398.11 | $588.84 | $933.25 |