| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $57.54 | $549.54 | |
Aetna
| Professional | $34.67 | $44.67 | $602.56 | |
Cigna
| Professional | $331.13 | $389.05 | $562.34 | |
Molina
| Professional | $436.52 | $436.52 | $436.52 | |
United
| Professional | $39.81 | $50.12 | $60.26 |