| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $141.25 | $141.25 | $1,105.96 | |
Cigna
| Facility | $267.62 | $267.62 | $330.59 | |
Cigna
| Professional | $227.48 | $267.62 | $445.88 | |
Molina
| Professional | $173.72 | $252.18 | $364.26 | |
United
| Professional | $134.09 | $191.23 | $297.97 |