| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.64 | $67.72 | $153.76 | |
Aetna
| Professional | $42.00 | $47.64 | $54.00 | |
Cigna
| Facility | $35.44 | $50.10 | $50.10 | |
Cigna
| Professional | $50.10 | $50.10 | $50.10 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $44.73 | $49.70 | $53.53 |