| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.36 | $71.00 | $77.62 | |
Cigna
| Professional | $56.24 | $56.24 | $72.72 | |
Molina
| Professional | $32.34 | $32.34 | $92.94 | |
Providence
| Professional | $56.24 | $56.24 | $118.40 | |
United
| Professional | $43.70 | $62.92 | $93.60 |