| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.38 | $191.94 | $249.22 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $200.72 | $225.15 | $307.20 |