| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.57 | $117.50 | $149.30 | |
Cigna
| Professional | $109.51 | $109.51 | $110.25 | |
Molina
| Professional | $32.34 | $32.34 | $189.70 | |
Providence
| Professional | $109.51 | $109.51 | $120.37 | |
United
| Professional | $155.66 | $191.85 | $285.97 |