| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $151.36 | $208.93 | $457.09 | |
Cigna
| Professional | $239.88 | $323.59 | $407.38 | |
Molina
| Professional | $32.36 | $33.11 | $134.90 | |
Providence
| Professional | $177.83 | $316.23 | $407.38 | |
United
| Professional | $169.82 | $190.55 | $331.13 |