| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $158.49 | $186.21 | |
Cigna
| Professional | $154.88 | $154.88 | $154.88 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $154.88 | $190.55 | $251.19 |