| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.48 | $119.48 | $643.03 | |
Cigna
| Facility | $126.72 | $126.72 | $169.65 | |
Cigna
| Professional | $107.71 | $126.72 | $207.75 | |
Molina
| Professional | $81.87 | $119.09 | $172.02 | |
United
| Professional | $111.19 | $119.48 | $265.50 |