| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.36 | $29.36 | $207.68 | |
Cigna
| Facility | $46.18 | $46.18 | $46.18 | |
Cigna
| Professional | $39.25 | $46.18 | $80.25 | |
Molina
| Professional | $25.68 | $40.57 | $64.18 | |
United
| Professional | $29.36 | $41.06 | $65.23 |