| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.61 | $20.61 | $150.56 | |
Cigna
| Facility | $33.36 | $33.36 | $33.36 | |
Cigna
| Professional | $28.36 | $33.36 | $58.50 | |
Molina
| Professional | $18.03 | $29.38 | $46.59 | |
United
| Professional | $20.61 | $29.75 | $45.80 |