| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.79 | $34.79 | $259.70 | |
Cigna
| Facility | $57.54 | $57.54 | $75.52 | |
Cigna
| Professional | $48.91 | $57.54 | $102.75 | |
Molina
| Professional | $41.90 | $60.83 | $87.67 | |
United
| Professional | $34.79 | $42.50 | $77.33 |