| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.04 | $18.04 | $147.86 | |
Cigna
| Facility | $33.33 | $33.33 | $43.75 | |
Cigna
| Professional | $28.33 | $33.33 | $55.88 | |
Molina
| Professional | $22.90 | $33.25 | $48.03 | |
United
| Professional | $24.08 | $24.08 | $37.78 |