| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.87 | $20.87 | $157.71 | |
Cigna
| Facility | $34.40 | $34.40 | $34.40 | |
Cigna
| Professional | $29.25 | $34.40 | $61.88 | |
Molina
| Professional | $23.88 | $34.94 | $50.58 | |
United
| Facility | $2.64 | $23.45 | $40.51 | |
United
| Professional | $20.87 | $25.58 | $46.37 |