| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $161.62 | $161.62 | $1,126.92 | |
Cigna
| Facility | $243.78 | $243.78 | $326.36 | |
Cigna
| Professional | $207.21 | $243.78 | $430.88 | |
Molina
| Professional | $166.17 | $241.21 | $348.42 | |
United
| Professional | $161.62 | $187.15 | $359.16 |