| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.91 | $166.91 | $166.91 | |
Cigna
| Facility | $235.00 | $238.50 | $238.50 | |
Cigna
| Professional | $202.73 | $238.50 | $615.00 | |
Molina
| Professional | $164.11 | $289.41 | $458.82 | |
United
| Facility | $22.04 | $156.22 | $269.83 | |
United
| Professional | $156.90 | $191.76 | $336.31 |