| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.72 | $222.97 | $1,136.45 | |
Cigna
| Professional | $238.11 | $292.87 | $385.83 | |
Molina
| Professional | $32.34 | $57.44 | $265.27 | |
Providence
| Professional | $211.24 | $318.52 | $385.83 | |
United
| Professional | $174.96 | $190.37 | $387.76 |