| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $142.71 | $142.71 | $1,143.47 | |
Cigna
| Facility | $243.42 | $243.42 | $325.88 | |
Cigna
| Professional | $206.91 | $243.42 | $431.25 | |
Molina
| Professional | $175.70 | $255.61 | $368.42 | |
United
| Professional | $142.71 | $182.68 | $317.14 |