| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.60 | $16.60 | $118.29 | |
Cigna
| Facility | $24.27 | $24.27 | $32.49 | |
Cigna
| Professional | $20.63 | $24.27 | $42.38 | |
Molina
| Professional | $16.20 | $26.07 | $34.22 | |
United
| Facility | $2.00 | $18.39 | $31.76 | |
United
| Professional | $16.60 | $20.05 | $36.88 |