| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.77 | $13.77 | $116.49 | |
Cigna
| Facility | $25.90 | $25.90 | $34.00 | |
Cigna
| Professional | $22.02 | $25.90 | $45.75 | |
Molina
| Professional | $17.94 | $26.04 | $37.62 | |
United
| Professional | $13.77 | $18.93 | $30.60 |