| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $301.19 | $301.19 | $301.19 | |
Cigna
| Professional | $75.52 | $766.82 | $1,354.69 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $283.10 | $462.96 | $606.73 |