| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.51 | $37.51 | $299.43 | |
Cigna
| Facility | $73.04 | $73.04 | $95.86 | |
Cigna
| Professional | $62.08 | $73.04 | $132.38 | |
Molina
| Professional | $50.76 | $73.69 | $106.21 | |
United
| Facility | $4.84 | $46.07 | $81.98 | |
United
| Professional | $37.51 | $51.77 | $83.35 |