| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.30 | $40.99 | $43.73 | |
Cigna
| Professional | $33.93 | $33.93 | $33.93 | |
Molina
| Professional | $13.56 | $32.34 | $38.92 | |
Providence
| Professional | $33.93 | $65.81 | $93.96 | |
United
| Professional | $23.70 | $36.61 | $80.56 |