| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.75 | $133.83 | $193.00 | |
Aetna
| Professional | $58.13 | $122.37 | $147.08 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $59.75 | $128.26 | $328.97 | |
Molina
| Professional | $45.00 | $45.00 | $139.41 | |
United
| Professional | $113.46 | $154.25 | $270.45 |