| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.94 | $83.94 | $5,133.00 | |
Aetna
| Professional | $81.92 | $83.94 | $86.97 | |
Cigna
| Facility | $85.96 | $85.96 | $85.96 | |
Cigna
| Professional | $85.96 | $85.96 | $85.96 | |
Molina
| Professional | $60.00 | $121.44 | $132.74 | |
United
| Professional | $136.47 | $136.47 | $136.47 |