| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.76 | $52.76 | $415.46 | |
Cigna
| Facility | $94.65 | $94.65 | $124.23 | |
Cigna
| Professional | $80.45 | $94.65 | $165.75 | |
Molina
| Professional | $67.35 | $97.77 | $141.23 | |
United
| Professional | $52.76 | $70.58 | $117.24 |