| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $57.54 | $676.08 | |
Aetna
| Professional | $34.67 | $44.67 | $758.58 | |
Cigna
| Professional | $426.58 | $501.19 | $707.95 | |
Molina
| Professional | $562.34 | $562.34 | $562.34 | |
United
| Professional | $39.81 | $50.12 | $60.26 |