| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.88 | $124.37 | $220.93 | |
Cigna
| Professional | $109.49 | $163.60 | $233.93 | |
Molina
| Professional | $32.34 | $116.14 | $209.70 | |
Providence
| Professional | $109.49 | $163.60 | $233.93 | |
United
| Professional | $144.00 | $182.00 | $278.87 |