| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.43 | $45.43 | $292.58 | |
Cigna
| Facility | $60.78 | $60.78 | $81.37 | |
Cigna
| Professional | $51.66 | $60.78 | $136.88 | |
Molina
| Professional | $41.63 | $60.44 | $87.12 | |
United
| Professional | $45.43 | $47.52 | $100.96 |