| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.55 | $68.06 | $82.24 | |
Cigna
| Professional | $94.64 | $94.64 | $94.64 | |
Molina
| Professional | $40.00 | $40.00 | $70.00 | |
United
| Professional | $47.58 | $61.35 | $95.99 | |
Wellpoint
| Professional | $67.41 | $67.41 | $67.41 |