| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.32 | $212.17 | $300.38 | |
Cigna
| Professional | $138.75 | $235.62 | $390.00 | |
Molina
| Professional | $32.34 | $62.64 | $334.95 | |
Providence
| Professional | $149.09 | $255.50 | $463.40 | |
United
| Professional | $231.04 | $316.20 | $478.84 |