| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.50 | $12.50 | $111.87 | |
Cigna
| Facility | $27.09 | $27.09 | $35.54 | |
Cigna
| Professional | $23.03 | $27.09 | $48.00 | |
Molina
| Professional | $18.25 | $26.50 | $38.28 | |
United
| Professional | $12.50 | $19.34 | $27.77 |