| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.29 | $176.87 | $197.96 | |
Cigna
| Professional | $184.50 | $184.50 | $185.36 | |
Molina
| Professional | $32.34 | $32.34 | $320.13 | |
Providence
| Professional | $184.50 | $184.50 | $191.21 | |
United
| Professional | $268.75 | $312.49 | $441.25 |