| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.47 | $121.36 | $202.33 | |
Cigna
| Professional | $121.13 | $186.86 | $243.71 | |
Molina
| Professional | $32.34 | $33.53 | $179.50 | |
Providence
| Professional | $136.40 | $170.44 | $243.71 | |
United
| Professional | $137.80 | $182.05 | $268.12 |