| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.46 | $199.73 | $255.22 | |
Cigna
| Professional | $184.50 | $184.50 | $185.36 | |
Molina
| Professional | $32.34 | $32.34 | $320.13 | |
Providence
| Professional | $184.50 | $184.50 | $206.48 | |
United
| Professional | $267.02 | $322.92 | $444.07 |