| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $483.89 | $483.89 | $483.89 | |
Cigna
| Professional | $124.95 | $1,232.30 | $2,564.06 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $454.83 | $744.02 | $974.65 |