| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.58 | $71.58 | $493.23 | |
Cigna
| Facility | $70.53 | $70.53 | $70.53 | |
Cigna
| Professional | $51.49 | $70.53 | $189.38 | |
Molina
| Professional | $77.58 | $112.62 | $162.68 | |
United
| Professional | $58.57 | $80.98 | $130.15 |