| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.73 | $150.99 | $161.69 | |
Cigna
| Professional | $87.87 | $87.87 | $87.87 | |
Molina
| Professional | $178.77 | $178.77 | $298.39 | |
Providence
| Facility | $131.02 | $140.33 | $174.42 | |
Providence
| Professional | $87.87 | $87.87 | $160.30 | |
United
| Professional | $84.44 | $91.33 | $137.57 |