| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.32 | $98.13 | $159.50 | |
Cigna
| Professional | $57.56 | $103.07 | $181.23 | |
Molina
| Professional | $32.34 | $102.31 | $182.23 | |
Providence
| Professional | $57.56 | $104.23 | $181.23 | |
United
| Professional | $96.48 | $139.36 | $204.20 |