| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.59 | $52.06 | $67.06 | |
Cigna
| Professional | $49.21 | $76.47 | $96.57 | |
Molina
| Professional | $32.34 | $32.34 | $85.00 | |
Providence
| Professional | $51.35 | $76.47 | $104.29 | |
United
| Professional | $76.41 | $92.40 | $132.72 |