| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.71 | $37.71 | $274.20 | |
Cigna
| Facility | $60.46 | $60.46 | $80.95 | |
Cigna
| Professional | $51.39 | $60.46 | $111.00 | |
Molina
| Professional | $40.78 | $60.00 | $85.33 | |
United
| Professional | $37.71 | $46.76 | $83.79 |