| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.90 | $42.90 | $285.86 | |
Cigna
| Facility | $60.80 | $60.80 | $81.41 | |
Cigna
| Professional | $51.68 | $60.80 | $105.00 | |
Molina
| Professional | $40.72 | $59.59 | $86.08 | |
United
| Professional | $42.90 | $47.77 | $95.34 |