| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.85 | $175.47 | $1,018.21 | |
Cigna
| Professional | $135.10 | $135.10 | $294.51 | |
Molina
| Professional | $32.34 | $32.34 | $217.49 | |
Providence
| Professional | $135.10 | $135.10 | $135.10 | |
United
| Professional | $150.16 | $193.93 | $360.23 |