| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.94 | $210.88 | $306.08 | |
Cigna
| Professional | $174.77 | $256.24 | $377.36 | |
Molina
| Professional | $32.34 | $60.60 | $321.81 | |
Providence
| Professional | $181.68 | $288.86 | $462.79 | |
United
| Professional | $221.02 | $318.01 | $440.30 |