| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $480.56 | $480.56 | $480.56 | |
Cigna
| Professional | $124.05 | $1,223.23 | $2,160.94 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $451.59 | $738.61 | $968.17 |