| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.06 | $206.08 | $206.08 | |
Aetna
| Professional | $202.54 | $221.65 | $266.33 | |
Cigna
| Professional | $65.81 | $65.81 | $65.81 | |
Molina
| Professional | $30.00 | $30.00 | $60.00 | |
United
| Professional | $207.49 | $270.88 | $270.88 |