| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.01 | $40.01 | $358.45 | |
Cigna
| Facility | $62.10 | $62.10 | $62.10 | |
Cigna
| Professional | $52.79 | $62.10 | $166.88 | |
Molina
| Professional | $66.15 | $96.03 | $138.71 | |
United
| Professional | $40.01 | $61.98 | $88.92 |