| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $460.08 | $460.08 | $460.08 | |
Cigna
| Professional | $894.40 | $894.40 | $1,543.13 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
United
| Professional | $533.27 | $704.39 | $1,142.99 |