| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $33.82 | $37.24 | |
Aetna
| Professional | $21.50 | $25.00 | $38.76 | |
Cigna
| Facility | $25.73 | $25.73 | $25.73 | |
Cigna
| Professional | $18.97 | $18.97 | $107.58 | |
Molina
| Professional | $45.00 | $45.00 | $3,000.00 | |
United
| Professional | $21.60 | $29.50 | $56.54 |