| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $118.30 | $194.14 | $1,095.80 | |
Cigna
| Professional | $227.26 | $293.76 | $358.53 | |
Molina
| Professional | $32.34 | $90.43 | $194.23 | |
Providence
| Professional | $227.26 | $277.35 | $358.53 | |
United
| Professional | $165.34 | $200.32 | $379.31 |