| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $447.80 | $447.80 | $447.80 | |
Cigna
| Professional | $115.61 | $1,140.20 | $2,371.88 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $420.89 | $688.37 | $901.90 |