| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.15 | $258.14 | $269.57 | |
Aetna
| Professional | $224.64 | $262.73 | $349.07 | |
Cigna
| Facility | $43.07 | $43.07 | $64.00 | |
Cigna
| Professional | $34.33 | $39.33 | $698.44 | |
Molina
| Professional | $37.34 | $39.03 | $70.25 | |
United
| Professional | $23.17 | $27.19 | $39.81 | |
Wellpoint
| Professional | $304.00 | $304.00 | $304.00 |