| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.91 | $104.91 | $104.91 | |
Aetna
| Professional | $85.43 | $104.91 | $124.61 | |
Cigna
| Facility | $138.66 | $138.66 | $138.66 | |
Cigna
| Professional | $104.45 | $104.45 | $174.88 | |
Molina
| Professional | $32.34 | $32.34 | $146.35 | |
United
| Professional | $103.15 | $134.99 | $215.00 |