| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.94 | $18.94 | $155.21 | |
Cigna
| Facility | $35.11 | $35.11 | $35.11 | |
Cigna
| Professional | $29.84 | $35.11 | $61.88 | |
Molina
| Professional | $18.07 | $31.88 | $50.54 | |
United
| Professional | $26.48 | $26.84 | $40.57 |