| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.72 | $109.65 | $131.83 | |
Cigna
| Professional | $109.65 | $109.65 | $169.82 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
Providence
| Professional | $112.20 | $120.23 | $120.23 | |
United
| Professional | $138.04 | $190.55 | $257.04 |