| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.41 | $25.69 | $37.93 | |
Cigna
| Professional | $22.57 | $33.81 | $49.06 | |
Molina
| Professional | $32.34 | $48.22 | $90.00 | |
Providence
| Professional | $22.57 | $33.81 | $49.06 | |
United
| Professional | $25.25 | $33.29 | $36.09 |