| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $132.72 | $132.72 | $921.56 | |
Cigna
| Facility | $244.43 | $244.43 | $244.43 | |
Cigna
| Professional | $178.43 | $207.77 | $448.59 | |
Molina
| Professional | $149.47 | $216.98 | $313.41 | |
United
| Professional | $108.59 | $152.44 | $241.32 |