| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $160.62 | $160.62 | $1,166.60 | |
Cigna
| Facility | $265.97 | $265.97 | $265.97 | |
Cigna
| Professional | $226.07 | $265.97 | $565.78 | |
Molina
| Professional | $184.40 | $268.00 | $386.64 | |
United
| Professional | $160.62 | $201.72 | $336.20 |