| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $167.82 | $197.96 | $231.57 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $203.65 | $215.72 | $307.98 |