| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.00 | $54.00 | $144.01 | |
Cigna
| Facility | $31.91 | $31.91 | $31.91 | |
Cigna
| Professional | $27.12 | $31.91 | $60.00 | |
Molina
| Professional | $21.60 | $31.35 | $45.29 | |
United
| Professional | $18.43 | $22.79 | $40.95 |