| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.00 | $40.72 | $45.19 | |
Aetna
| Professional | $39.54 | $40.72 | $78.30 | |
Cigna
| Facility | $34.49 | $43.83 | $43.83 | |
Cigna
| Professional | $43.83 | $43.83 | $43.83 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $39.56 | $42.66 | $45.60 |