| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.11 | $40.11 | $241.38 | |
Cigna
| Professional | $28.52 | $45.40 | $64.43 | |
Molina
| Professional | $10.15 | $32.34 | $48.65 | |
Providence
| Professional | $33.43 | $57.24 | $90.18 | |
United
| Professional | $21.65 | $24.11 | $62.12 |