| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $57.54 | $616.60 | |
Aetna
| Professional | $34.67 | $44.67 | $758.58 | |
Cigna
| Professional | $380.19 | $446.68 | $630.96 | |
Molina
| Professional | $436.52 | $436.52 | $436.52 | |
United
| Professional | $39.81 | $50.12 | $60.26 |