| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.19 | $145.19 | $193.97 | |
Cigna
| Professional | $104.60 | $104.60 | $104.60 | |
Molina
| Professional | $30.00 | $60.00 | $215.48 | |
United
| Professional | $85.13 | $108.72 | $163.78 |