| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.96 | $102.96 | $751.01 | |
Cigna
| Facility | $166.31 | $166.31 | $218.29 | |
Cigna
| Professional | $141.36 | $166.31 | $295.13 | |
Molina
| Professional | $114.80 | $167.02 | $240.72 | |
United
| Professional | $102.96 | $127.66 | $212.77 |