| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.08 | $112.09 | $146.06 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $114.14 | $130.94 | $178.70 |