| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.22 | $50.22 | $386.52 | |
Cigna
| Facility | $88.16 | $88.16 | $88.16 | |
Cigna
| Professional | $74.94 | $88.16 | $157.13 | |
Molina
| Professional | $60.69 | $88.10 | $127.25 | |
United
| Professional | $50.22 | $72.51 | $109.76 |