| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.28 | $75.81 | $259.91 | |
Cigna
| Professional | $44.56 | $80.66 | $110.33 | |
Molina
| Professional | $17.46 | $52.39 | $117.86 | |
Providence
| Professional | $45.21 | $81.56 | $110.33 | |
United
| Professional | $66.22 | $87.22 | $125.27 |