| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.85 | $105.18 | $117.46 | |
Cigna
| Professional | $109.51 | $109.51 | $110.25 | |
Molina
| Professional | $32.34 | $32.34 | $189.70 | |
Providence
| Professional | $109.51 | $109.51 | $112.30 | |
United
| Professional | $148.68 | $185.64 | $255.47 |