| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.04 | $203.47 | $1,034.58 | |
Cigna
| Professional | $260.14 | $281.51 | $360.42 | |
Molina
| Professional | $32.34 | $69.31 | $236.82 | |
Providence
| Professional | $231.24 | $290.67 | $375.43 | |
United
| Professional | $154.30 | $208.00 | $353.99 |