| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.85 | $28.33 | $49.19 | |
Cigna
| Professional | $25.46 | $35.64 | $59.43 | |
Molina
| Professional | $11.40 | $32.34 | $39.87 | |
Providence
| Professional | $26.64 | $36.90 | $72.05 | |
United
| Professional | $28.05 | $42.93 | $58.47 |