| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.37 | $16.37 | $143.52 | |
Cigna
| Facility | $32.79 | $32.79 | $32.79 | |
Cigna
| Professional | $27.87 | $32.79 | $58.13 | |
Molina
| Professional | $17.02 | $30.02 | $47.60 | |
United
| Professional | $20.00 | $24.82 | $38.21 |