| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.20 | $110.81 | $541.58 | |
Cigna
| Professional | $66.54 | $126.50 | $162.54 | |
Molina
| Professional | $32.34 | $135.38 | $142.94 | |
Providence
| Professional | $95.52 | $137.63 | $197.67 | |
United
| Professional | $89.59 | $137.19 | $182.00 |