| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.94 | $144.94 | $149.53 | |
Aetna
| Professional | $101.01 | $144.94 | $168.48 | |
Cigna
| Professional | $147.91 | $147.91 | $147.91 | |
Molina
| Professional | $38.25 | $45.00 | $50.00 | |
United
| Professional | $325.73 | $342.87 | $445.73 |