| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $48.00 | $748.00 | |
Aetna
| Professional | $33.81 | $45.00 | $61.00 | |
Cigna
| Professional | $475.00 | $570.00 | $800.00 | |
Molina
| Professional | $496.00 | $496.00 | $496.00 | |
United
| Professional | $40.00 | $50.00 | $58.00 |