| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $450.72 | $2,039.89 | $3,479.47 | |
Cigna
| Professional | $484.28 | $748.57 | $3,572.16 | |
Molina
| Professional | $32.34 | $32.34 | $2,652.24 | |
Providence
| Professional | $505.33 | $1,070.30 | $4,488.75 | |
United
| Professional | $2,280.32 | $3,506.76 | $5,534.80 |