| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $195.67 | $286.02 | $429.26 | |
Cigna
| Professional | $231.79 | $346.71 | $529.22 | |
Molina
| Professional | $32.34 | $82.72 | $445.56 | |
Providence
| Professional | $242.47 | $389.78 | $649.60 | |
United
| Professional | $305.33 | $439.04 | $654.07 |