| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.73 | $80.05 | $364.14 | |
Cigna
| Professional | $89.28 | $89.28 | $89.28 | |
Molina
| Professional | $32.34 | $32.34 | $151.19 | |
Providence
| Professional | $89.28 | $89.28 | $188.45 | |
United
| Professional | $93.45 | $144.55 | $184.23 |