| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $72.81 | $150.63 | $234.93 | |
Cigna
| Professional | $108.53 | $108.53 | $108.53 | |
Molina
| Professional | $60.00 | $183.90 | $222.83 | |
United
| Professional | $88.32 | $112.80 | $169.92 |