| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.69 | $20.50 | $23.66 | |
Cigna
| Professional | $23.64 | $36.67 | $54.21 | |
Molina
| Professional | $28.94 | $32.34 | $32.34 | |
Providence
| Professional | $23.73 | $39.22 | $59.19 | |
United
| Professional | $29.76 | $47.52 | $62.38 |