| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $144.54 | $213.80 | |
Aetna
| Professional | $141.25 | $147.91 | $177.83 | |
Cigna
| Facility | $151.36 | $151.36 | $151.36 | |
Cigna
| Professional | $151.36 | $151.36 | $151.36 | |
Molina
| Professional | $25.12 | $42.66 | $67.61 | |
United
| Professional | $123.03 | $154.88 | $169.82 |