| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.09 | $72.09 | $105.49 | |
Aetna
| Professional | $72.09 | $105.49 | $118.68 | |
Cigna
| Facility | $136.94 | $136.94 | $136.94 | |
Cigna
| Professional | $136.94 | $136.94 | $136.94 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $80.17 | $83.51 | $108.56 |