| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.36 | $430.72 | $674.92 | |
Cigna
| Professional | $137.88 | $170.98 | $170.98 | |
Molina
| Professional | $1,500.00 | $2,500.00 | $2,500.00 | |
United
| Professional | $63.41 | $85.79 | $189.39 |