| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.09 | $62.56 | $63.36 | |
Aetna
| Professional | $55.09 | $62.56 | $64.90 | |
Cigna
| Facility | $49.22 | $49.22 | $49.22 | |
Cigna
| Professional | $49.22 | $49.22 | $49.22 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $14.60 | $16.22 | $24.98 |