| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.37 | $76.26 | $101.33 | |
Cigna
| Professional | $87.11 | $147.91 | $181.42 | |
Molina
| Professional | $32.34 | $32.34 | $128.30 | |
Providence
| Professional | $86.56 | $144.74 | $225.52 | |
United
| Professional | $106.19 | $146.85 | $216.27 |