| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.55 | $19.55 | $165.45 | |
Cigna
| Facility | $37.64 | $37.64 | $37.64 | |
Cigna
| Professional | $31.99 | $37.64 | $66.75 | |
Molina
| Professional | $26.00 | $37.74 | $54.52 | |
United
| Professional | $19.55 | $28.61 | $43.44 |