| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.43 | $100.43 | $133.90 | |
Aetna
| Professional | $45.14 | $94.52 | $154.00 | |
Cigna
| Professional | $66.81 | $102.15 | $139.43 | |
Molina
| Professional | $47.35 | $61.32 | $77.63 | |
United
| Professional | $73.95 | $96.90 | $153.00 |