| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.67 | $46.77 | $257.04 | |
Cigna
| Professional | $89.13 | $104.71 | $123.03 | |
Molina
| Professional | $22.91 | $32.36 | $33.11 | |
Providence
| Professional | $61.66 | $100.00 | $123.03 | |
United
| Professional | $38.90 | $100.00 | $154.88 |