| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.99 | $40.99 | $288.43 | |
Cigna
| Facility | $65.95 | $65.95 | $87.12 | |
Cigna
| Professional | $56.07 | $65.95 | $114.38 | |
Molina
| Professional | $44.09 | $64.00 | $92.24 | |
United
| Professional | $49.87 | $49.87 | $70.73 |