| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $906.54 | $906.54 | $906.54 | |
Cigna
| Professional | $510.39 | $510.39 | $611.51 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
United
| Professional | $168.19 | $224.52 | $336.05 |