| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.61 | $88.61 | $88.61 | |
Aetna
| Professional | $62.34 | $84.79 | $103.26 | |
Cigna
| Professional | $25.92 | $52.07 | $185.68 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
United
| Professional | $41.23 | $54.40 | $80.25 |