| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.88 | $43.88 | $397.32 | |
Cigna
| Facility | $93.52 | $93.52 | $122.74 | |
Cigna
| Professional | $79.48 | $93.52 | $172.50 | |
Molina
| Professional | $65.37 | $94.90 | $137.08 | |
United
| Professional | $43.88 | $68.65 | $97.50 |