| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $150.34 | $150.34 | $1,072.47 | |
Cigna
| Facility | $243.17 | $243.17 | $319.16 | |
Cigna
| Professional | $206.69 | $243.17 | $436.13 | |
Molina
| Professional | $171.38 | $249.31 | $359.34 | |
United
| Professional | $150.34 | $185.44 | $334.08 |