| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.32 | $42.32 | $274.20 | |
Cigna
| Facility | $64.23 | $64.23 | $79.36 | |
Cigna
| Professional | $54.60 | $64.23 | $138.75 | |
Molina
| Professional | $40.69 | $59.07 | $65.78 | |
United
| Professional | $36.58 | $46.76 | $81.28 |