| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.97 | $43.97 | $225.17 | |
Cigna
| Facility | $43.29 | $43.29 | $57.95 | |
Cigna
| Professional | $36.79 | $43.29 | $105.43 | |
Molina
| Professional | $26.52 | $42.68 | $55.61 | |
United
| Professional | $36.89 | $44.64 | $66.70 |