| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.82 | $212.06 | $316.98 | |
Cigna
| Professional | $131.33 | $231.86 | $390.80 | |
Molina
| Professional | $32.34 | $61.63 | $324.91 | |
Providence
| Professional | $137.41 | $258.08 | $480.68 | |
United
| Professional | $221.11 | $306.33 | $421.94 |