| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.57 | $16.57 | $150.91 | |
Cigna
| Facility | $35.56 | $35.56 | $46.67 | |
Cigna
| Professional | $30.23 | $35.56 | $63.00 | |
Molina
| Professional | $24.39 | $35.40 | $51.14 | |
United
| Professional | $16.57 | $26.09 | $36.85 |