| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.31 | $73.31 | $75.62 | |
Aetna
| Professional | $51.08 | $74.08 | $85.21 | |
Cigna
| Facility | $93.13 | $93.13 | $93.13 | |
Cigna
| Professional | $93.13 | $93.13 | $93.13 | |
Molina
| Professional | $38.25 | $45.00 | $50.00 | |
United
| Professional | $86.74 | $91.30 | $118.69 |