| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $259.29 | $259.29 | $259.29 | |
Cigna
| Professional | $65.00 | $659.87 | $1,335.94 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $243.70 | $398.43 | $522.16 |