| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.24 | $151.66 | $770.21 | |
Cigna
| Professional | $109.51 | $109.51 | $1,164.80 | |
Molina
| Professional | $32.34 | $32.34 | $176.32 | |
Providence
| Professional | $109.51 | $109.51 | $109.51 | |
United
| Professional | $146.85 | $175.68 | $280.10 |