| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $214.60 | $214.60 | $221.37 | |
Aetna
| Professional | $150.41 | $214.60 | $250.34 | |
Cigna
| Professional | $216.38 | $216.38 | $216.38 | |
Molina
| Professional | $38.25 | $45.00 | $50.00 | |
United
| Professional | $241.84 | $254.57 | $330.94 |