| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.61 | $290.35 | $1,446.39 | |
Cigna
| Professional | $194.32 | $194.32 | $468.59 | |
Molina
| Professional | $32.34 | $32.34 | $312.76 | |
Providence
| Professional | $194.32 | $194.32 | $194.32 | |
United
| Professional | $192.32 | $325.36 | $524.54 |