| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.46 | $26.46 | $235.41 | |
Cigna
| Facility | $54.06 | $54.06 | $70.95 | |
Cigna
| Professional | $45.95 | $54.06 | $96.00 | |
Molina
| Professional | $37.34 | $54.32 | $78.29 | |
United
| Professional | $26.46 | $40.70 | $58.79 |