| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.70 | $33.11 | $72.44 | |
Cigna
| Professional | $30.90 | $43.65 | $63.10 | |
Molina
| Professional | $32.36 | $33.11 | $46.77 | |
Providence
| Professional | $33.11 | $54.95 | $72.44 | |
United
| Professional | $34.67 | $50.12 | $75.86 |