| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $68.31 | $145.43 | $200.86 | |
Cigna
| Professional | $101.80 | $101.80 | $101.80 | |
Molina
| Professional | $60.00 | $172.50 | $209.00 | |
United
| Professional | $82.84 | $105.81 | $159.38 |