| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.28 | $158.28 | $347.56 | |
Aetna
| Professional | $20.10 | $252.92 | $347.56 | |
Cigna
| Professional | $80.40 | $182.29 | $182.29 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $132.27 | $200.90 | $264.99 |