| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.31 | $116.71 | $133.44 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $110.26 | $131.57 | $175.91 |