| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.91 | $16.91 | $154.97 | |
Cigna
| Facility | $26.10 | $26.10 | $26.10 | |
Cigna
| Professional | $22.19 | $26.10 | $60.75 | |
Molina
| Professional | $25.15 | $36.51 | $52.74 | |
United
| Facility | $2.31 | $20.77 | $39.95 | |
United
| Professional | $16.91 | $25.23 | $37.58 |