| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.75 | $41.68 | $53.78 | |
Cigna
| Professional | $41.66 | $41.66 | $41.66 | |
Molina
| Professional | $32.34 | $32.34 | $54.24 | |
Providence
| Professional | $41.66 | $66.33 | $92.17 | |
United
| Professional | $35.72 | $76.92 | $227.78 |