| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.82 | $25.82 | $174.89 | |
Cigna
| Facility | $39.01 | $39.01 | $39.01 | |
Cigna
| Professional | $33.15 | $39.01 | $67.50 | |
Molina
| Professional | $27.42 | $40.14 | $58.09 | |
United
| Professional | $25.82 | $36.10 | $57.37 |