| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.40 | $36.40 | $302.41 | |
Cigna
| Facility | $66.39 | $66.39 | $87.14 | |
Cigna
| Professional | $56.43 | $66.39 | $144.84 | |
Molina
| Professional | $46.28 | $67.05 | $97.05 | |
United
| Professional | $36.40 | $44.54 | $80.88 |