| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.71 | $19.71 | $152.19 | |
Cigna
| Facility | $36.44 | $36.44 | $36.44 | |
Cigna
| Professional | $30.97 | $36.44 | $61.13 | |
Molina
| Professional | $25.35 | $36.81 | $53.17 | |
United
| Professional | $19.71 | $26.32 | $43.80 |