| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.09 | $149.11 | $166.33 | |
Cigna
| Professional | $154.15 | $154.15 | $155.11 | |
Molina
| Professional | $32.34 | $32.34 | $267.08 | |
Providence
| Professional | $154.15 | $154.15 | $155.69 | |
United
| Professional | $217.15 | $262.61 | $356.09 |