| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.13 | $25.13 | $237.59 | |
Cigna
| Facility | $44.33 | $44.33 | $44.33 | |
Cigna
| Professional | $37.68 | $44.33 | $127.50 | |
Molina
| Professional | $40.07 | $58.16 | $84.01 | |
United
| Professional | $25.13 | $41.08 | $55.84 |