| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $182.43 | $182.43 | $182.43 | |
Cigna
| Professional | $354.68 | $354.68 | $614.05 | |
Molina
| Professional | $28.42 | $259.93 | $450.55 | |
United
| Professional | $258.45 | $279.33 | $441.66 |