| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.67 | $45.67 | $310.63 | |
Cigna
| Facility | $66.45 | $66.45 | $88.97 | |
Cigna
| Professional | $56.49 | $66.45 | $116.63 | |
Molina
| Professional | $46.73 | $67.69 | $97.99 | |
United
| Professional | $45.67 | $51.86 | $101.49 |