| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.01 | $173.01 | $1,249.03 | |
Cigna
| Facility | $277.51 | $277.51 | $371.51 | |
Cigna
| Professional | $235.88 | $277.51 | $492.00 | |
Molina
| Professional | $189.59 | $275.81 | $397.54 | |
United
| Professional | $173.01 | $215.97 | $384.47 |