| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.76 | $16.76 | $152.26 | |
Cigna
| Facility | $24.44 | $24.44 | $24.44 | |
Cigna
| Professional | $20.77 | $24.44 | $61.13 | |
Molina
| Professional | $23.96 | $34.79 | $50.25 | |
United
| Professional | $16.76 | $26.33 | $37.25 |