| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $154.88 | $602.56 | |
Cigna
| Professional | $151.36 | $199.53 | $269.15 | |
Molina
| Professional | $32.36 | $33.11 | $190.55 | |
Providence
| Professional | $147.91 | $194.98 | $269.15 | |
United
| Professional | $147.91 | $194.98 | $302.00 |