| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.21 | $166.11 | $207.62 | |
Cigna
| Professional | $154.15 | $154.15 | $155.11 | |
Molina
| Professional | $32.34 | $32.34 | $267.08 | |
Providence
| Professional | $154.15 | $154.15 | $166.92 | |
United
| Professional | $215.86 | $256.01 | $359.62 |