| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.63 | $19.63 | $171.11 | |
Cigna
| Facility | $39.06 | $39.06 | $51.26 | |
Cigna
| Professional | $33.20 | $39.06 | $69.00 | |
Molina
| Professional | $27.00 | $39.20 | $56.62 | |
United
| Professional | $19.63 | $29.59 | $43.62 |