| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.09 | $338.84 | $575.44 | |
Cigna
| Professional | $275.42 | $398.11 | $588.84 | |
Molina
| Professional | $32.36 | $33.11 | $478.63 | |
Providence
| Professional | $275.42 | $407.38 | $630.96 | |
United
| Professional | $281.84 | $407.38 | $630.96 |