| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.10 | $143.10 | $143.10 | |
Aetna
| Professional | $143.10 | $250.56 | $349.07 | |
Cigna
| Professional | $35.88 | $66.81 | $558.75 | |
Molina
| Professional | $22.34 | $35.96 | $48.54 | |
United
| Professional | $15.45 | $23.17 | $31.79 |