| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.59 | $111.74 | $171.20 | |
Cigna
| Professional | $100.58 | $145.43 | $189.53 | |
Molina
| Professional | $32.34 | $32.34 | $141.32 | |
Providence
| Professional | $107.96 | $161.02 | $285.29 | |
United
| Professional | $111.03 | $154.84 | $212.41 |