| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.11 | $43.90 | $49.34 | |
Cigna
| Professional | $43.15 | $43.15 | $43.48 | |
Molina
| Professional | $32.34 | $32.34 | $74.81 | |
Providence
| Professional | $43.15 | $43.15 | $47.95 | |
United
| Professional | $63.72 | $81.11 | $123.20 |