| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.39 | $84.39 | $587.67 | |
Cigna
| Facility | $83.15 | $83.15 | $83.15 | |
Cigna
| Professional | $60.70 | $83.14 | $228.75 | |
Molina
| Professional | $93.49 | $135.72 | $196.04 | |
United
| Professional | $69.05 | $97.22 | $153.44 |