| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $416.87 | $630.96 | $1,174.90 | |
Cigna
| Professional | $354.81 | $616.60 | $1,000.00 | |
Molina
| Professional | $32.36 | $100.00 | $831.76 | |
Providence
| Professional | $354.81 | $588.84 | $851.14 | |
United
| Professional | $426.58 | $616.60 | $933.25 |