| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.69 | $216.99 | $1,062.78 | |
Cigna
| Professional | $150.88 | $150.88 | $315.36 | |
Molina
| Professional | $32.34 | $32.34 | $243.00 | |
Providence
| Professional | $150.88 | $150.88 | $150.88 | |
United
| Professional | $178.11 | $215.04 | $386.35 |