| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.03 | $135.06 | $566.58 | |
Cigna
| Professional | $58.62 | $157.24 | $185.42 | |
Molina
| Professional | $32.34 | $161.25 | $173.11 | |
Providence
| Professional | $58.62 | $178.21 | $234.57 | |
United
| Professional | $102.08 | $139.19 | $183.27 |