| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.19 | $31.20 | $38.51 | |
Aetna
| Professional | $31.19 | $31.20 | $69.30 | |
Cigna
| Facility | $25.83 | $33.14 | $37.18 | |
Cigna
| Professional | $33.14 | $33.14 | $33.14 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $29.99 | $33.32 | $35.70 |