| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.16 | $67.16 | $74.55 | |
Aetna
| Professional | $67.16 | $67.16 | $74.55 | |
Cigna
| Facility | $41.88 | $74.02 | $74.02 | |
Cigna
| Professional | $74.02 | $74.02 | $74.02 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $66.09 | $74.68 | $79.01 |