| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.76 | $39.76 | $265.66 | |
Cigna
| Facility | $60.88 | $60.88 | $81.51 | |
Cigna
| Professional | $51.75 | $60.88 | $108.75 | |
Molina
| Professional | $42.84 | $62.19 | $89.63 | |
United
| Professional | $39.76 | $44.81 | $88.36 |