| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $301.95 | $301.95 | $301.95 | |
Cigna
| Professional | $75.70 | $768.75 | $1,542.19 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $283.77 | $464.26 | $608.25 |