| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $197.59 | $197.59 | $197.59 | |
Cigna
| Facility | $327.62 | $327.62 | $327.62 | |
Cigna
| Professional | $38.27 | $327.62 | $551.25 | |
Molina
| Professional | $159.72 | $281.66 | $446.53 | |
United
| Professional | $197.59 | $276.35 | $439.08 |