| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.01 | $113.82 | $133.90 | |
Aetna
| Professional | $71.09 | $109.44 | $166.61 | |
Cigna
| Professional | $103.57 | $142.06 | $209.62 | |
Molina
| Professional | $71.44 | $93.51 | $116.28 | |
United
| Professional | $102.72 | $136.11 | $209.40 |