| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.30 | $232.30 | $232.30 | |
Aetna
| Professional | $232.30 | $256.02 | $349.07 | |
Cigna
| Professional | $61.57 | $61.57 | $102.05 | |
Molina
| Professional | $30.00 | $53.74 | $60.00 | |
United
| Professional | $23.17 | $23.17 | $51.63 |