| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $896.80 | $896.80 | $896.80 | |
Aetna
| Professional | $640.32 | $869.18 | $933.81 | |
Cigna
| Professional | $79.45 | $750.60 | $750.60 | |
Molina
| Professional | $30.00 | $60.00 | $152.59 | |
United
| Professional | $60.85 | $60.85 | $363.50 |