| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.56 | $15.56 | $133.56 | |
Cigna
| Facility | $29.99 | $29.99 | $39.36 | |
Cigna
| Professional | $25.49 | $29.99 | $52.88 | |
Molina
| Professional | $21.89 | $31.78 | $45.91 | |
United
| Facility | $2.06 | $20.72 | $35.79 | |
United
| Professional | $15.56 | $22.60 | $34.58 |