| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.15 | $71.15 | $523.45 | |
Cigna
| Facility | $114.47 | $114.47 | $150.25 | |
Cigna
| Professional | $97.30 | $114.47 | $202.50 | |
Molina
| Professional | $60.00 | $101.08 | $159.90 | |
United
| Professional | $71.15 | $87.07 | $158.10 |