| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.92 | $44.92 | $270.87 | |
Cigna
| Facility | $57.45 | $57.45 | $76.92 | |
Cigna
| Professional | $48.83 | $57.45 | $107.15 | |
Molina
| Professional | $35.72 | $51.96 | $74.90 | |
United
| Professional | $43.33 | $43.33 | $99.82 |