| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.89 | $172.89 | $172.89 | |
Cigna
| Facility | $256.50 | $256.50 | $386.04 | |
Cigna
| Professional | $35.83 | $256.50 | $543.75 | |
Molina
| Professional | $156.79 | $276.50 | $337.20 | |
United
| Professional | $183.19 | $183.19 | $289.64 |