| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.94 | $145.94 | $213.56 | |
Aetna
| Professional | $142.38 | $151.27 | $213.56 | |
Cigna
| Facility | $151.27 | $151.27 | $151.27 | |
Cigna
| Professional | $151.27 | $151.27 | $151.27 | |
Molina
| Professional | $38.25 | $45.00 | $50.00 | |
United
| Professional | $153.69 | $161.79 | $210.33 |