| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.98 | $57.98 | $385.14 | |
Cigna
| Facility | $81.62 | $81.62 | $109.27 | |
Cigna
| Professional | $69.38 | $81.62 | $147.75 | |
Molina
| Professional | $55.34 | $80.34 | $115.80 | |
United
| Professional | $57.98 | $70.87 | $128.85 |