| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $675.54 | $675.54 | $675.54 | |
Cigna
| Professional | $169.88 | $1,743.98 | $3,079.69 | |
Molina
| Professional | $721.93 | $1,273.08 | $2,018.30 | |
United
| Professional | $675.54 | $1,057.80 | $1,501.21 |