| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $59.91 | $59.91 | $631.40 | |
Cigna
| Facility | $134.41 | $134.41 | $134.41 | |
Cigna
| Professional | $114.26 | $134.41 | $253.88 | |
Molina
| Professional | $96.42 | $139.96 | $202.91 | |
United
| Professional | $72.66 | $92.80 | $133.13 |