| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.86 | $239.86 | $266.25 | |
Aetna
| Professional | $239.86 | $239.86 | $266.25 | |
Cigna
| Facility | $145.86 | $263.38 | $263.38 | |
Cigna
| Professional | $263.38 | $263.38 | $263.38 | |
Molina
| Professional | $20.00 | $20.00 | $20.00 | |
United
| Professional | $235.16 | $261.26 | $282.19 |