| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.24 | $157.72 | $770.21 | |
Cigna
| Professional | $108.92 | $108.92 | $253.43 | |
Molina
| Professional | $32.34 | $32.34 | $175.36 | |
Providence
| Professional | $108.92 | $108.92 | $108.92 | |
United
| Professional | $147.79 | $179.55 | $280.10 |