| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $48.00 | $272.00 | |
Aetna
| Professional | $33.81 | $42.00 | $61.00 | |
Cigna
| Professional | $142.50 | $171.00 | $240.00 | |
Molina
| Professional | $186.00 | $186.00 | $186.00 | |
United
| Professional | $40.00 | $50.00 | $58.00 |