| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.51 | $14.51 | $131.58 | |
Cigna
| Facility | $30.64 | $30.64 | $40.22 | |
Cigna
| Professional | $26.04 | $30.64 | $67.50 | |
Molina
| Professional | $20.84 | $30.25 | $43.70 | |
United
| Professional | $14.51 | $22.75 | $32.25 |