| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $45.62 | $90.23 | $169.29 |
Aetna
| Professional | $157.34 | $317.24 | $1,933.63 | |
Cigna
| Professional | $150.47 | $205.20 | $258.49 | |
Molina
| Professional | $32.34 | $91.98 | $391.62 | |
Providence
| Professional | $157.32 | $258.49 | $754.81 | |
United
| Professional | $85.33 | $168.90 | $330.23 |