| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.39 | $23.40 | $146.75 | |
Cigna
| Facility | $31.00 | $31.00 | $41.50 | |
Cigna
| Professional | $26.35 | $31.00 | $54.00 | |
Molina
| Professional | $20.01 | $32.22 | $43.58 | |
United
| Professional | $23.40 | $28.59 | $51.99 |