| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.44 | $87.44 | $599.03 | |
Cigna
| Facility | $130.68 | $130.68 | $171.51 | |
Cigna
| Professional | $111.08 | $130.68 | $241.50 | |
Molina
| Professional | $66.61 | $117.46 | $143.25 | |
United
| Professional | $71.54 | $96.63 | $158.97 |