| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $138.97 | $192.53 | $933.50 | |
Cigna
| Professional | $83.99 | $239.88 | $271.86 | |
Molina
| Professional | $32.34 | $231.14 | $243.82 | |
Providence
| Professional | $83.99 | $265.45 | $336.70 | |
United
| Professional | $157.85 | $248.38 | $316.56 |