| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.88 | $407.38 | $446.68 | |
Cigna
| Facility | $295.12 | $295.12 | $295.12 | |
Cigna
| Professional | $251.19 | $295.12 | $407.38 | |
Molina
| Professional | $60.26 | $162.18 | $281.84 |