| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $240.63 | $261.25 | $388.44 | |
Cigna
| Facility | $318.39 | $318.39 | $318.39 | |
Cigna
| Professional | $270.64 | $270.64 | $327.95 | |
Molina
| Professional | $30.00 | $53.74 | $60.00 | |
United
| Professional | $19.16 | $23.17 | $51.63 |