| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $144.54 | $147.91 | |
Aetna
| Professional | $100.00 | $134.90 | $154.88 | |
Cigna
| Facility | $302.00 | $302.00 | $302.00 | |
Cigna
| Professional | $147.91 | $147.91 | $302.00 | |
Molina
| Professional | $25.12 | $42.66 | $67.61 | |
United
| Professional | $107.15 | $125.89 | $173.78 |