| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $57.54 | $407.38 | |
Aetna
| Professional | $34.67 | $44.67 | $457.09 | |
Cigna
| Professional | $234.42 | $281.84 | $398.11 | |
Molina
| Professional | $309.03 | $309.03 | $309.03 | |
United
| Professional | $39.81 | $50.12 | $60.26 |