| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $178.27 | $178.27 | $1,381.44 | |
Cigna
| Facility | $333.25 | $333.25 | $333.25 | |
Cigna
| Professional | $283.26 | $333.25 | $555.00 | |
Molina
| Professional | $216.18 | $313.82 | $453.29 | |
United
| Professional | $169.23 | $238.87 | $376.07 |