| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $140.10 | $140.10 | $1,090.61 | |
Cigna
| Facility | $263.45 | $263.45 | $325.44 | |
Cigna
| Professional | $223.93 | $263.45 | $548.44 | |
Molina
| Professional | $170.95 | $248.16 | $358.46 | |
United
| Professional | $132.99 | $188.58 | $295.54 |