| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.67 | $57.67 | $57.67 | |
Aetna
| Professional | $57.67 | $57.67 | $57.67 | |
Cigna
| Professional | $10.23 | $10.23 | $11.24 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
United
| Professional | $41.94 | $62.92 | $83.89 |