| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.02 | $154.81 | $182.69 | |
Aetna
| Professional | $111.20 | $160.41 | $599.00 | |
Cigna
| Professional | $157.34 | $216.54 | $299.70 | |
Molina
| Professional | $118.63 | $154.68 | $194.07 | |
United
| Professional | $152.71 | $193.51 | $312.01 |