| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.44 | $25.44 | $185.19 | |
Cigna
| Facility | $42.67 | $42.67 | $42.67 | |
Cigna
| Professional | $36.27 | $42.67 | $70.13 | |
Molina
| Professional | $28.19 | $38.40 | $59.73 | |
United
| Professional | $25.44 | $31.09 | $56.53 |