| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.77 | $17.77 | $158.72 | |
Cigna
| Facility | $36.74 | $36.74 | $36.74 | |
Cigna
| Professional | $31.23 | $36.74 | $64.88 | |
Molina
| Professional | $25.41 | $36.89 | $53.28 | |
United
| Professional | $4.13 | $27.44 | $39.49 |