| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.14 | $29.14 | $208.34 | |
Cigna
| Facility | $48.02 | $48.02 | $48.02 | |
Cigna
| Professional | $40.82 | $48.02 | $82.13 | |
Molina
| Professional | $32.84 | $44.80 | $69.42 | |
United
| Professional | $29.14 | $36.02 | $64.75 |