| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.06 | $74.84 | $97.05 | |
Cigna
| Professional | $69.93 | $69.93 | $70.47 | |
Molina
| Professional | $32.34 | $32.34 | $121.19 | |
Providence
| Professional | $69.93 | $69.93 | $78.14 | |
United
| Professional | $101.05 | $122.21 | $185.64 |