| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.05 | $66.78 | $75.20 | |
Cigna
| Professional | $69.93 | $69.93 | $70.47 | |
Molina
| Professional | $32.34 | $32.34 | $121.19 | |
Providence
| Professional | $69.93 | $69.93 | $72.84 | |
United
| Professional | $96.80 | $120.87 | $170.65 |