| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.30 | $27.30 | $243.87 | |
Cigna
| Facility | $35.54 | $35.54 | $74.12 | |
Cigna
| Professional | $30.22 | $35.54 | $103.13 | |
Molina
| Professional | $40.17 | $58.34 | $84.09 | |
United
| Professional | $27.30 | $39.40 | $60.66 |