| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $122.50 | $122.50 | $122.50 | |
Cigna
| Facility | $209.52 | $209.52 | $290.14 | |
Cigna
| Professional | $31.65 | $209.52 | $517.50 | |
Molina
| Professional | $152.53 | $268.00 | $424.87 | |
United
| Professional | $122.50 | $189.90 | $272.22 |