| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.66 | $126.17 | $156.29 | |
Cigna
| Professional | $116.86 | $157.51 | $260.81 | |
Molina
| Professional | $32.34 | $82.33 | $168.98 | |
Providence
| Professional | $116.86 | $168.92 | $306.52 | |
United
| Professional | $119.85 | $183.56 | $297.83 |