| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $213.80 | $218.78 | |
Aetna
| Professional | $147.91 | $199.53 | $229.09 | |
Cigna
| Facility | $223.87 | $223.87 | $223.87 | |
Cigna
| Professional | $218.78 | $218.78 | $223.87 | |
Molina
| Professional | $21.38 | $42.66 | $67.61 | |
United
| Professional | $107.15 | $125.89 | $257.04 |