| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.89 | $27.89 | $187.55 | |
Cigna
| Facility | $43.15 | $43.15 | $56.64 | |
Cigna
| Professional | $36.68 | $43.15 | $74.63 | |
Molina
| Professional | $29.12 | $42.28 | $60.00 | |
United
| Professional | $24.45 | $31.93 | $54.34 |