| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.78 | $132.78 | $132.78 | |
Cigna
| Facility | $240.34 | $240.34 | $240.34 | |
Cigna
| Professional | $33.42 | $240.34 | $483.75 | |
Molina
| Professional | $141.96 | $250.34 | $396.89 | |
United
| Professional | $31.37 | $208.08 | $295.07 |