| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.18 | $35.18 | $364.59 | |
Cigna
| Facility | $78.94 | $78.94 | $78.94 | |
Cigna
| Professional | $67.09 | $78.94 | $186.09 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
United
| Professional | $35.18 | $62.49 | $78.18 |