| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.77 | $9.77 | $88.35 | |
Cigna
| Facility | $20.72 | $20.72 | $27.20 | |
Cigna
| Professional | $17.61 | $20.72 | $36.75 | |
Molina
| Professional | $14.17 | $20.57 | $29.71 | |
United
| Professional | $9.77 | $15.28 | $21.72 |