| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.76 | $159.40 | $159.40 | |
Aetna
| Professional | $159.40 | $173.29 | $214.06 | |
Cigna
| Professional | $45.05 | $45.05 | $45.05 | |
Molina
| Professional | $30.00 | $30.00 | $60.00 | |
United
| Professional | $161.71 | $209.53 | $209.53 |