| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.04 | $29.04 | $162.74 | |
Cigna
| Facility | $36.06 | $36.06 | $36.06 | |
Cigna
| Professional | $30.65 | $36.06 | $67.50 | |
Molina
| Professional | $24.40 | $35.43 | $51.18 | |
United
| Facility | $2.50 | $23.14 | $40.77 | |
United
| Professional | $20.82 | $25.75 | $46.27 |