| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.30 | $25.93 | $32.00 | |
Cigna
| Professional | $23.21 | $23.21 | $23.21 | |
Molina
| Professional | $25.86 | $32.34 | $32.34 | |
Providence
| Professional | $23.21 | $31.66 | $70.98 | |
United
| Professional | $28.05 | $37.44 | $52.55 |