| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.90 | $51.20 | $134.53 | |
Cigna
| Professional | $29.67 | $69.31 | $160.07 | |
Molina
| Professional | $32.34 | $32.34 | $147.06 | |
Providence
| Facility | $35.97 | $65.26 | $130.12 | |
Providence
| Professional | $29.67 | $69.80 | $160.07 | |
United
| Professional | $47.46 | $104.86 | $161.46 |